15D2296133 CLIA NUMBER - CLINTON CENTRAL SATELLITE HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 15D2296133
  • Facility Name: CLINTON CENTRAL SATELLITE HEALTH CENTER
  • Facility Address: 725 N STATE ROAD 29
    MICHIGANTOWN, IN
    ZIP 46057
  • Facility Phone: 765 840-6440
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JEAN M. HERD
  • NPI Number: 1861588428
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 15D2296133
LAB Type Practitioner Other
Facility Name CLINTON CENTRAL SATELLITE HEALTH CENTER
Street 725 N STATE ROAD 29
City MICHIGANTOWN
State IN
ZIP 46057
Phone 765 840-6440
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Practitioner Other
Lab Director JEAN M. HERD

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