15D2206276 CLIA NUMBER - WELLS, MARVEL & HALL FAMILY DENTISTRY

Laboratory Demographics

  • CLIA Code: 15D2206276
  • Facility Name: WELLS, MARVEL & HALL FAMILY DENTISTRY
  • Facility Address: 829 PLAZA DRIVE
    MARTINSVILLE, IN
    ZIP 46151
  • Facility Phone: (765) 342-7090
  • Facility Type: Public Health Laboratories
  • Facility Type: Waiver
  • Lab Director: NATHANIEL H. HALL
  • NPI Number: 1841476876
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 15D2206276
LAB Type Public Health Laboratories
Facility Name WELLS, MARVEL & HALL FAMILY DENTISTRY
Street 829 PLAZA DRIVE
City MARTINSVILLE
State IN
ZIP 46151
Phone 7653427090
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2024
Certificate Expiration Date 12/17/2026
Facility Type Public Health Laboratories
Lab Director NATHANIEL H. HALL

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This page was last updated on: 5/18/2026