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CLIA 15D2022385: Fort Wayne South Dialysis

Fort Wayne, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 15D2022385 belongs to Fort Wayne South Dialysis in Fort Wayne, IN.

Certificate of Waiver, effective April 1, 2025, expires March 31, 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
April 1, 2025
Certificate expiration
March 31, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 1, 2011
Facility type
End stage renal disease dialysis facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

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
15D2022385
Lab name
Fort Wayne South Dialysis
Address
302 E Pettit Ave, Fort Wayne, IN 46806
Phone
(260) 456-0451
Fax
(260) 458-9269

Annual test volume the lab reported

Waived tests
2,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Affiliated CLIA numbers

Other labs in Fort Wayne, IN

Related

Questions

What is the CLIA number for Fort Wayne South Dialysis in Fort Wayne?

15D2022385, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fort Wayne South Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2022385 expire?

The CMS file lists March 31, 2027 as the certificate expiration date; the certificate took effect April 1, 2025.

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