15D2262597 CLIA NUMBER - GOOD SAMARITAN HOSPITAL

Laboratory Demographics

  • CLIA Code: 15D2262597
  • Facility Name: GOOD SAMARITAN HOSPITAL
  • Facility Address: 401 S 7TH ST
    VINCENNES, IN
    ZIP 47591
  • Facility Phone: 812 885-3793
  • Facility Type: Other - COMMUNITY PARAMEDIC
  • Facility Type: Waiver
  • Lab Director: SCOTT R. KEYES
  • NPI Number: 1376900985
  • Taxonomy: 247100000X - Radiologic Technologist

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2262597
LAB Type Other - COMMUNITY PARAMEDIC
Facility Name GOOD SAMARITAN HOSPITAL
Street 401 S 7TH ST
City VINCENNES
State IN
ZIP 47591
Phone 812 885-3793
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2024
Certificate Expiration Date 6/14/2026
Facility Type Other - COMMUNITY PARAMEDIC
Lab Director SCOTT R. KEYES

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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