15D2300651 CLIA NUMBER - TWO ROADS WELLNESS CLINIC

Laboratory Demographics

  • CLIA Code: 15D2300651
  • Facility Name: TWO ROADS WELLNESS CLINIC
  • Facility Address: 318 4TH STREET
    COVINGTON, IN
    ZIP 47932
  • Facility Phone: 765 231-4193
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: BEATRICE M. ANDERSON
  • NPI Number: 1639927296
  • Taxonomy: 261QP2300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2300651
LAB Type Independent
Facility Name TWO ROADS WELLNESS CLINIC
Street 318 4TH STREET
City COVINGTON
State IN
ZIP 47932
Phone 765 231-4193
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/14/2024
Certificate Expiration Date 3/13/2026
Facility Type Independent
Lab Director BEATRICE M. ANDERSON

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