15D2170817 CLIA NUMBER - CLOVIS E MANLEY MD LLC

Laboratory Demographics

  • CLIA Code: 15D2170817
  • Facility Name: CLOVIS E MANLEY MD LLC
  • Facility Address: 4943 ROSEBUD LANE
    NEWBURGH, IN
    ZIP 47630
  • Facility Phone: 812 490-0475
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLOVIS E. MANLEY
  • NPI Number: 1336212331
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2170817
LAB Type Physician Office
Facility Name CLOVIS E MANLEY MD LLC
Street 4943 ROSEBUD LANE
City NEWBURGH
State IN
ZIP 47630
Phone 812 490-0475
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Physician Office
Lab Director CLOVIS E. MANLEY

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