44D2163658 CLIA NUMBER - WOODLAND WELLNESS

Laboratory Demographics

  • CLIA Code: 44D2163658
  • Facility Name: WOODLAND WELLNESS
  • Facility Address: 115 N WOODLAND STREET
    MANCHESTER, TN
    ZIP 37355
  • Facility Phone: 931 954-5219
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARK VANN
  • NPI Number: 1548766025
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 44D2163658
LAB Type Physician Office
Facility Name WOODLAND WELLNESS
Street 115 N WOODLAND STREET
City MANCHESTER
State TN
ZIP 37355
Phone 931 954-5219
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2025
Certificate Expiration Date 3/18/2027
Facility Type Physician Office
Lab Director MARK VANN

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