CLIA lab
CLIA 15D0713799: Fort Wayne Assembly Health Services
Roanoke, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0713799 belongs to Fort Wayne Assembly Health Services in Roanoke, IN.
Certificate of Waiver, effective August 16, 2026, expires August 15, 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
- August 16, 2026
- Certificate expiration
- August 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 2, 1994
- Facility type
- Industrial
- 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
- 15D0713799
- Lab name
- Fort Wayne Assembly Health Services
- Address
- 12200 Lafayette Center Rd, Roanoke, IN 46783
- Phone
- (260) 673-2114
- Fax
- (260) 673-2795
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Solace Hospice CareCertificate of Waiver, Hospice15D2299461
- Viridian Health DPCCertificate of Waiver, Physician office15D2323624
- Webmd Health Services Group, IncCertificate of Waiver, Other15D2245518
Related
Questions
What is the CLIA number for Fort Wayne Assembly Health Services in Roanoke?
15D0713799, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fort Wayne Assembly Health Services hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0713799 expire?
The CMS file lists August 15, 2028 as the certificate expiration date; the certificate took effect August 16, 2026.