15D2140811 CLIA NUMBER - NOTRE DAME WELLNESS CENTER PHARMACY

Laboratory Demographics

  • CLIA Code: 15D2140811
  • Facility Name: NOTRE DAME WELLNESS CENTER PHARMACY
  • Facility Address: 100 WELLNESS CENTER DR
    NOTRE DAME, IN
    ZIP 46556
  • Facility Phone: 574 271-5622
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: VINCENT WORKMAN
  • NPI Number: 1447518691
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2140811
LAB Type Pharmacy
Facility Name NOTRE DAME WELLNESS CENTER PHARMACY
Street 100 WELLNESS CENTER DR
City NOTRE DAME
State IN
ZIP 46556
Phone 574 271-5622
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Pharmacy
Lab Director VINCENT WORKMAN

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