15D2291410 CLIA NUMBER - INDIANA DETOX II, LLC DBA BOCA RECOVERY CENTER

Laboratory Demographics

  • CLIA Code: 15D2291410
  • Facility Name: INDIANA DETOX II, LLC DBA BOCA RECOVERY CENTER
  • Facility Address: 3040 W PARK DR
    HUNTINGTON, IN
    ZIP 46750
  • Facility Phone: 206 888-8006
  • Facility Type: Other - DETOX/SUBSTANCE ABUSE TRE
  • Facility Type: Waiver
  • Lab Director: CHRIS FERRY
  • NPI Number: 1699525170
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2291410
LAB Type Other - DETOX/SUBSTANCE ABUSE TRE
Facility Name INDIANA DETOX II, LLC DBA BOCA RECOVERY CENTER
Street 3040 W PARK DR
City HUNTINGTON
State IN
ZIP 46750
Phone 206 888-8006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2025
Certificate Expiration Date 10/9/2027
Facility Type Other - DETOX/SUBSTANCE ABUSE TRE
Lab Director CHRIS FERRY

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