15D2316379 CLIA NUMBER - GRACE WELLNESS LLC

Laboratory Demographics

  • CLIA Code: 15D2316379
  • Facility Name: GRACE WELLNESS LLC
  • Facility Address: 1301 7TH STREET
    BEDFORD, IN
    ZIP 47421
  • Facility Phone: 812 583-2561
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: AMANDA DAWN NAPIER
  • NPI Number: 1952127144
  • Taxonomy: 261QH0100X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2316379
LAB Type Practitioner Other
Facility Name GRACE WELLNESS LLC
Street 1301 7TH STREET
City BEDFORD
State IN
ZIP 47421
Phone 812 583-2561
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/3/2025
Certificate Expiration Date 1/2/2027
Facility Type Practitioner Other
Lab Director AMANDA DAWN NAPIER

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