15D2145789 CLIA NUMBER - HICKORY HOUSE RECOVERY

Laboratory Demographics

  • CLIA Code: 15D2145789
  • Facility Name: HICKORY HOUSE RECOVERY
  • Facility Address: 5486 W US HWY 40
    GREENFIELD, IN
    ZIP 46140
  • Facility Phone: 317 434-5375
  • Facility Type: Other - RESIDENTIAL SUBSTANCE ABU
  • Facility Type: Waiver
  • Lab Director: JAMES PIKE
  • NPI Number: 1699213306
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2145789
LAB Type Other - RESIDENTIAL SUBSTANCE ABU
Facility Name HICKORY HOUSE RECOVERY
Street 5486 W US HWY 40
City GREENFIELD
State IN
ZIP 46140
Phone 317 434-5375
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Other - RESIDENTIAL SUBSTANCE ABU
Lab Director JAMES PIKE

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