15D2265269 CLIA NUMBER - PAX RIVERBEND LLC DBA TRUHEALING RIVERBEND

Laboratory Demographics

  • CLIA Code: 15D2265269
  • Facility Name: PAX RIVERBEND LLC DBA TRUHEALING RIVERBEND
  • Facility Address: 202 E MAPLE ST
    JEFFERSONVILLE, IN
    ZIP 47130
  • Facility Phone: 812 250-5006
  • Facility Type: Comp. Outpatient Rehab Facility
  • Facility Type: Waiver
  • Lab Director: MADISYN R. BOWSER
  • NPI Number: 1154979615
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2265269
LAB Type Comp. Outpatient Rehab Facility
Facility Name PAX RIVERBEND LLC DBA TRUHEALING RIVERBEND
Street 202 E MAPLE ST
City JEFFERSONVILLE
State IN
ZIP 47130
Phone 812 250-5006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Comp. Outpatient Rehab Facility
Lab Director MADISYN R. BOWSER

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