15D2252280 CLIA NUMBER - GOOD SAMARITAN HOSPITAL

Laboratory Demographics

  • CLIA Code: 15D2252280
  • Facility Name: GOOD SAMARITAN HOSPITAL
  • Facility Address: 406 N 1ST ST, FP 100
    VINCENNES, IN
    ZIP 47591
  • Facility Phone: 812 885-0524
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DANIEL HERMAN
  • NPI Number: 1760145973
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2252280
LAB Type Rural Health Clinic
Facility Name GOOD SAMARITAN HOSPITAL
Street 406 N 1ST ST, FP 100
City VINCENNES
State IN
ZIP 47591
Phone 812 885-0524
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2024
Certificate Expiration Date 2/9/2026
Facility Type Rural Health Clinic
Lab Director DANIEL HERMAN

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This page was last updated on: 9/29/2025