15D2261155 CLIA NUMBER - INDIANA DETOX, LLC DBA BOCA RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 15D2261155
  • Facility Name: INDIANA DETOX, LLC DBA BOCA RECOVERY CENTER
  • Facility Address: 2306 W 3RD STREET
    BLOOMINGTON, IN
    ZIP 47404
  • Facility Phone: 561 859-2744
  • Facility Type: Other - DETOX/SUBSTANCE ABUSE TRE
  • Facility Type: Waiver
  • Lab Director: CHRIS FERRY
  • NPI Number: 1255075008
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2261155
LAB Type Other - DETOX/SUBSTANCE ABUSE TRE
Facility Name INDIANA DETOX, LLC DBA BOCA RECOVERY CENTER
Street 2306 W 3RD STREET
City BLOOMINGTON
State IN
ZIP 47404
Phone 561 859-2744
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2024
Certificate Expiration Date 5/25/2026
Facility Type Other - DETOX/SUBSTANCE ABUSE TRE
Lab Director CHRIS FERRY

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