15D2034382 CLIA NUMBER - HENDRICKS THERAPY

Laboratory Demographics

  • CLIA Code: 15D2034382
  • Facility Name: HENDRICKS THERAPY
  • Facility Address: 202 MYERS RD
    DANVILLE, IN
    ZIP 46122
  • Facility Phone: 317 718-8436
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILIP J. BORDERS
  • NPI Number: 1295877900
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 15D2034382
LAB Type Physician Office
Facility Name HENDRICKS THERAPY
Street 202 MYERS RD
City DANVILLE
State IN
ZIP 46122
Phone 317 718-8436
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/22/2023
Certificate Expiration Date 12/21/2025
Facility Type Physician Office
Lab Director PHILIP J. BORDERS

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