15D2064750 CLIA NUMBER - WYNDMOOR, THE

Laboratory Demographics

  • CLIA Code: 15D2064750
  • Facility Name: WYNDMOOR, THE
  • Facility Address: 1465 E CROSSING BLVD
    TERRE HAUTE, IN
    ZIP 47802
  • Facility Phone: 812 298-9963
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: VALAURIE NESBIT
  • NPI Number: 1235549395
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2064750
LAB Type Assisted Living Facility
Facility Name WYNDMOOR, THE
Street 1465 E CROSSING BLVD
City TERRE HAUTE
State IN
ZIP 47802
Phone 812 298-9963
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/27/2025
Certificate Expiration Date 8/26/2027
Facility Type Assisted Living Facility
Lab Director VALAURIE NESBIT

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