15D2042928 CLIA NUMBER - ALEXANDRIA HEALTH AND WELLNESS

Laboratory Demographics

  • CLIA Code: 15D2042928
  • Facility Name: ALEXANDRIA HEALTH AND WELLNESS
  • Facility Address: 112 S HARRISON ST
    ALEXANDRIA, IN
    ZIP 46001
  • Facility Phone: 765 705-4013
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. COURTNEY YOUNG
  • NPI Number: 1497817951
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 15D2042928
LAB Type Physician Office
Facility Name ALEXANDRIA HEALTH AND WELLNESS
Street 112 S HARRISON ST
City ALEXANDRIA
State IN
ZIP 46001
Phone 765 705-4013
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Physician Office
Lab Director DR. COURTNEY YOUNG

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