15D0935458 CLIA NUMBER - HENDRICKS REGIONAL HEALTH DBA HENDRICKS ADULT MEDICINE

Laboratory Demographics

  • CLIA Code: 15D0935458
  • Facility Name: HENDRICKS REGIONAL HEALTH DBA HENDRICKS ADULT MEDICINE
  • Facility Address: 112 HOSPITAL LN, STE 110
    DANVILLE, IN
    ZIP 46122
  • Facility Phone: 317 745-8790
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: THOMAS H. JONES
  • NPI Number: 1346346269
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0935458
LAB Type Physician Office
Facility Name HENDRICKS REGIONAL HEALTH DBA HENDRICKS ADULT MEDICINE
Street 112 HOSPITAL LN, STE 110
City DANVILLE
State IN
ZIP 46122
Phone 317 745-8790
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2024
Certificate Expiration Date 2/12/2026
Facility Type Physician Office
Lab Director THOMAS H. JONES

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