15D2207859 CLIA NUMBER - HENDRICKS BEHAVIORAL HOSPITAL

Laboratory Demographics

  • CLIA Code: 15D2207859
  • Facility Name: HENDRICKS BEHAVIORAL HOSPITAL
  • Facility Address: 1051 SOUTHFIELD DRIVE
    PLAINFIELD, IN
    ZIP 46168
  • Facility Phone: 844 991-9900
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: TAMARA GREENE
  • NPI Number: 1215497763
  • Taxonomy: 207LP2900X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 15D2207859
LAB Type Hospital
Facility Name HENDRICKS BEHAVIORAL HOSPITAL
Street 1051 SOUTHFIELD DRIVE
City PLAINFIELD
State IN
ZIP 46168
Phone 844 991-9900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2024
Certificate Expiration Date 12/30/2026
Facility Type Hospital
Lab Director TAMARA GREENE

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