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CLIA 15D0678173: Fort Wayne Pediatrics Lab
Fort Wayne, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0678173 belongs to Fort Wayne Pediatrics Lab in Fort Wayne, IN.
Certificate of Waiver, effective January 3, 2025, expires January 2, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 3, 2025
- Certificate expiration
- January 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 10, 1995
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Lab and contact
- CLIA number
- 15D0678173
- Lab name
- Fort Wayne Pediatrics Lab
- Address
- 2810 Dupont Commerce Ct, Fort Wayne, IN 46825
- Phone
- (260) 490-7337
- Fax
- (260) 489-8937
Annual test volume the lab reported
- Waived tests
- 6,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Fort Wayne Pediatrics Lab in Fort Wayne?
15D0678173, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fort Wayne Pediatrics Lab hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0678173 expire?
The CMS file lists January 2, 2027 as the certificate expiration date; the certificate took effect January 3, 2025.
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Map your lab's test names to LOINC codes
Map the testsFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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