15D2321897 CLIA NUMBER - DAVIESS COMMUNITY HOSPITAL CLINIC OF JASPER

Laboratory Demographics

  • CLIA Code: 15D2321897
  • Facility Name: DAVIESS COMMUNITY HOSPITAL CLINIC OF JASPER
  • Facility Address: 4115 MANNHEIM RD
    JASPER, IN
    ZIP 47546
  • Facility Phone: 812 254-2760
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNA LAMB
  • NPI Number: 1275745002
  • Taxonomy: 261QM2500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2321897
LAB Type Physician Office
Facility Name DAVIESS COMMUNITY HOSPITAL CLINIC OF JASPER
Street 4115 MANNHEIM RD
City JASPER
State IN
ZIP 47546
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 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director ANNA LAMB

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