15D2295940 CLIA NUMBER - DAVIESS COMMUNITY HOSPITAL MOBILE INTEGRATED HEALTH

Laboratory Demographics

  • CLIA Code: 15D2295940
  • Facility Name: DAVIESS COMMUNITY HOSPITAL MOBILE INTEGRATED HEALTH
  • Facility Address: 1314 EAST WALNUT STREET
    WASHINGTON, IN
    ZIP 47501
  • Facility Phone: 812 254-2760
  • Facility Type: Other - CLIENT HOME/MOBILE VEHICL
  • Facility Type: Waiver
  • Lab Director: GREGORY W. BROWN
  • NPI Number: 1538895503
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 15D2295940
LAB Type Other - CLIENT HOME/MOBILE VEHICL
Facility Name DAVIESS COMMUNITY HOSPITAL MOBILE INTEGRATED HEALTH
Street 1314 EAST WALNUT STREET
City WASHINGTON
State IN
ZIP 47501
Phone 812 254-2760
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Other - CLIENT HOME/MOBILE VEHICL
Lab Director GREGORY W. BROWN

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