15D2180936 CLIA NUMBER - APPLEGATE HEALTH SERVICES, INC APPLEGATE RECOVERY INDIANAPOLIS

Laboratory Demographics

  • CLIA Code: 15D2180936
  • Facility Name: APPLEGATE HEALTH SERVICES, INC APPLEGATE RECOVERY INDIANAPOLIS
  • Facility Address: 8140 CASTLETON ROAD
    INDIANAPOLIS, IN
    ZIP 46250
  • Facility Phone: 317 455-8246
  • Facility Type: Other - NARCOTIC TREATMENT PROGRA
  • Facility Type: Waiver
  • Lab Director: RICHARD MAENZA
  • NPI Number: 1831865963
  • Taxonomy: 261QR0405X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2180936
LAB Type Other - NARCOTIC TREATMENT PROGRA
Facility Name APPLEGATE HEALTH SERVICES, INC APPLEGATE RECOVERY INDIANAPOLIS
Street 8140 CASTLETON ROAD
City INDIANAPOLIS
State IN
ZIP 46250
Phone 317 455-8246
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Other - NARCOTIC TREATMENT PROGRA
Lab Director RICHARD MAENZA

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