15D2065193 CLIA NUMBER - WELLBROOKE OF CRAWFORDSVILLE

Laboratory Demographics

  • CLIA Code: 15D2065193
  • Facility Name: WELLBROOKE OF CRAWFORDSVILLE
  • Facility Address: 517 N CONCORD RD
    CRAWFORDSVILLE, IN
    ZIP 47933
  • Facility Phone: 765 362-9124
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARTHA CLAR
  • NPI Number: 1760816623
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2065193
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WELLBROOKE OF CRAWFORDSVILLE
Street 517 N CONCORD RD
City CRAWFORDSVILLE
State IN
ZIP 47933
Phone 765 362-9124
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/5/2025
Certificate Expiration Date 9/4/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARTHA CLAR

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