15D2125473 CLIA NUMBER - MCCORDSVILLE SENIOR LIVING LLC DBA TRADITIONS AT BROOKSIDE

Laboratory Demographics

  • CLIA Code: 15D2125473
  • Facility Name: MCCORDSVILLE SENIOR LIVING LLC DBA TRADITIONS AT BROOKSIDE
  • Facility Address: 6311 W CR 900 N
    MCCORDSVILLE, IN
    ZIP 46055
  • Facility Phone: 317 335-9900
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PATRICIA A. JUNE
  • NPI Number: 1639619919
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2125473
LAB Type Assisted Living Facility
Facility Name MCCORDSVILLE SENIOR LIVING LLC DBA TRADITIONS AT BROOKSIDE
Street 6311 W CR 900 N
City MCCORDSVILLE
State IN
ZIP 46055
Phone 317 335-9900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Assisted Living Facility
Lab Director PATRICIA A. JUNE

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