15D2024805 CLIA NUMBER - HENDRICKS REGIONAL HOSP-D/B/A HAMILTON TRACE OF FISHERS

Laboratory Demographics

  • CLIA Code: 15D2024805
  • Facility Name: HENDRICKS REGIONAL HOSP-D/B/A HAMILTON TRACE OF FISHERS
  • Facility Address: 11851 CUMBERLAND ROAD
    FISHERS, IN
    ZIP 46037
  • Facility Phone: 317 813-4444
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROBERT J. STEWART
  • NPI Number: 1033416243
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2024805
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HENDRICKS REGIONAL HOSP-D/B/A HAMILTON TRACE OF FISHERS
Street 11851 CUMBERLAND ROAD
City FISHERS
State IN
ZIP 46037
Phone 317 813-4444
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/24/2025
Certificate Expiration Date 5/23/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ROBERT J. STEWART

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