15D0687424 CLIA NUMBER - WOODLAND HILLS CARE CENTER THE BD OF TRUSTEES OF FLAVIUS WITHAM MEM HOSP

Laboratory Demographics

  • CLIA Code: 15D0687424
  • Facility Name: WOODLAND HILLS CARE CENTER THE BD OF TRUSTEES OF FLAVIUS WITHAM MEM HOSP
  • Facility Address: 403 BIELBY RD
    LAWRENCEBURG, IN
    ZIP 47025
  • Facility Phone: 812 537-1132
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: BEVERLY SUE TACKITT
  • NPI Number: 1255366308
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0687424
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WOODLAND HILLS CARE CENTER THE BD OF TRUSTEES OF FLAVIUS WITHAM MEM HOSP
Street 403 BIELBY RD
City LAWRENCEBURG
State IN
ZIP 47025
Phone 812 537-1132
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director BEVERLY SUE TACKITT

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