15D2237195 CLIA NUMBER - PADDOCK VIEW RESIDENTIAL CENTER, INC

Laboratory Demographics

  • CLIA Code: 15D2237195
  • Facility Name: PADDOCK VIEW RESIDENTIAL CENTER, INC
  • Facility Address: 1700 EAST BRADFORD STREET
    MARION, IN
    ZIP 46952
  • Facility Phone: 765 664-7740
  • Facility Type: Other - RESIDENTIAL TREATMENT PRO
  • Facility Type: Waiver
  • Lab Director: CAROL W. BOYLE
  • NPI Number: 1396082863
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 15D2237195
LAB Type Other - RESIDENTIAL TREATMENT PRO
Facility Name PADDOCK VIEW RESIDENTIAL CENTER, INC
Street 1700 EAST BRADFORD STREET
City MARION
State IN
ZIP 46952
Phone 765 664-7740
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2025
Certificate Expiration Date 9/22/2027
Facility Type Other - RESIDENTIAL TREATMENT PRO
Lab Director CAROL W. BOYLE

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