15D1061208 CLIA NUMBER - HICKORY TREATMENT CENTER AT ALBION

Laboratory Demographics

  • CLIA Code: 15D1061208
  • Facility Name: HICKORY TREATMENT CENTER AT ALBION
  • Facility Address: 600 TRAIL RIDGE RD
    ALBION, IN
    ZIP 46701
  • Facility Phone: 314 258-1037
  • Facility Type: Other - RESIDENTIAL ADDICTION TRE
  • Facility Type: Waiver
  • Lab Director: TIMOTHY J. KELLY
  • NPI Number: 1164064242
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D1061208
LAB Type Other - RESIDENTIAL ADDICTION TRE
Facility Name HICKORY TREATMENT CENTER AT ALBION
Street 600 TRAIL RIDGE RD
City ALBION
State IN
ZIP 46701
Phone 314 258-1037
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Other - RESIDENTIAL ADDICTION TRE
Lab Director TIMOTHY J. KELLY

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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