15D2164578 CLIA NUMBER - J & M WELLNESS, LLC

Laboratory Demographics

  • CLIA Code: 15D2164578
  • Facility Name: J & M WELLNESS, LLC
  • Facility Address: 14350 MUNDY DRIVE, SUITE 500
    NOBLESVILLE, IN
    ZIP 46060
  • Facility Phone: 317 750-8573
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JILL A. WARD
  • NPI Number: 1053974519
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2164578
LAB Type Practitioner Other
Facility Name J & M WELLNESS, LLC
Street 14350 MUNDY DRIVE, SUITE 500
City NOBLESVILLE
State IN
ZIP 46060
Phone 317 750-8573
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/9/2025
Certificate Expiration Date 4/8/2027
Facility Type Practitioner Other
Lab Director JILL A. WARD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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