15D2187309 CLIA NUMBER - ALLENDALE LLC

Laboratory Demographics

  • CLIA Code: 15D2187309
  • Facility Name: ALLENDALE LLC
  • Facility Address: 5419 COUNTY ROAD 427
    AUBURN, IN
    ZIP 46706
  • Facility Phone: 260 333-5105
  • Facility Type: Other - SUBSTANCE USE TREATMENT
  • Facility Type: Waiver
  • Lab Director: NICOLE L. HAMER
  • NPI Number: 1508408378
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2187309
LAB Type Other - SUBSTANCE USE TREATMENT
Facility Name ALLENDALE LLC
Street 5419 COUNTY ROAD 427
City AUBURN
State IN
ZIP 46706
Phone 260 333-5105
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Other - SUBSTANCE USE TREATMENT
Lab Director NICOLE L. HAMER

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