36D2002631 CLIA NUMBER - WELLNESS FOR ME LLC

Laboratory Demographics

  • CLIA Code: 36D2002631
  • Facility Name: WELLNESS FOR ME LLC
  • Facility Address: 505 CORPORATE CENTER DRIVE SUITE B
    VANDALIA, OH
    ZIP 45377
  • Facility Phone: 937 898-2098
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: RICK W. GEBHART
  • NPI Number: 1659921112
  • Taxonomy: 207QB0002X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 36D2002631
LAB Type Practitioner Other
Facility Name WELLNESS FOR ME LLC
Street 505 CORPORATE CENTER DRIVE SUITE B
City VANDALIA
State OH
ZIP 45377
Phone 937 898-2098
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/22/2024
Certificate Expiration Date 1/21/2026
Facility Type Practitioner Other
Lab Director RICK W. GEBHART

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