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CLIA 15D2104060: Dupont Pediatrics
Fort Wayne, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2104060 belongs to Dupont Pediatrics in Fort Wayne, IN.
Certificate of Waiver, effective October 27, 2025, expires October 26, 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
- October 27, 2025
- Certificate expiration
- October 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 27, 2015
- 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
- 15D2104060
- Lab name
- Dupont Pediatrics
- Address
- 2510 East Dupont Rd Suite 200, Fort Wayne, IN 46825
- Phone
- (260) 432-4913
- Fax
- (290) 969-6832
Annual test volume the lab reported
- Waived tests
- 2,500
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 Dupont Pediatrics in Fort Wayne?
15D2104060, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Dupont Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2104060 expire?
The CMS file lists October 26, 2027 as the certificate expiration date; the certificate took effect October 27, 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.
2M+ interactions500K+ patientsHIPAA BAA