15D0669436 CLIA NUMBER - HICKORY CREEK AT SUNSET

Laboratory Demographics

  • CLIA Code: 15D0669436
  • Facility Name: HICKORY CREEK AT SUNSET
  • Facility Address: 1109 S INDIANA STREET
    GREENCASTLE, IN
    ZIP 46135
  • Facility Phone: 765 653-3143
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AUDREY BEAMAN
  • NPI Number: 1659300440
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0669436
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HICKORY CREEK AT SUNSET
Street 1109 S INDIANA STREET
City GREENCASTLE
State IN
ZIP 46135
Phone 765 653-3143
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director AUDREY BEAMAN

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