CLIA lab
CLIA 15D0678780: M Teresa Tallon MD
Ft Wayne, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0678780 belongs to M Teresa Tallon MD in Ft Wayne, IN.
Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.
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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 30, 1993
- 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
Lab and contact
- CLIA number
- 15D0678780
- Lab name
- M Teresa Tallon MD
- Address
- 2821 E Dupont Dr, Ft Wayne, IN 46825
- Phone
- (219) 925-0580
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Fort Wayne Vascular Care, LLCCertificate of Waiver, Ambulatory surgery center15D2164630
- Fort Wayne on the Go Mobile Drug & AlcoholCertificate of Waiver, Mobile lab15D2319515
- Fresenius Medical Care Fort Wayne JeffersonCertificate of Waiver, End stage renal disease dialysis facility15D0647525
- Great Lakes Caring Hospice Nin, LLC DBA ElaraCertificate of Waiver, Hospice15D2330740
- Holy Family Birth CenterCertificate of Waiver, Other15D2168308
- Iuhmg Riley SpecialistsCertificate of Waiver, Physician office15D2141694
- Karim Moshref MD PCCertificate for Provider-Performed Microscopy Procedures, Physician office15D0975862
- Kroger Pharmacy #425Certificate of Waiver, Pharmacy15D2093590
Related
Questions
What is the CLIA number for M Teresa Tallon MD in Ft Wayne?
15D0678780, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does M Teresa Tallon MD hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0678780 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.