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CLIA 15D2149009: Five Star Residences of Fort Wayne

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

CLIA number 15D2149009 belongs to Five Star Residences of Fort Wayne in Fort Wayne, IN.

Certificate of Waiver, effective May 23, 2026, expires May 22, 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
May 23, 2026
Certificate expiration
May 22, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 23, 2018
Facility type
Assisted living facility
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
15D2149009
Lab name
Five Star Residences of Fort Wayne
Address
2601 Covington Commons Drive, Fort Wayne, IN 46804
Phone
(260) 432-1932
Fax
(260) 432-7740

Annual test volume the lab reported

Waived tests
160

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

Other labs in Fort Wayne, IN

Related

Questions

What is the CLIA number for Five Star Residences of Fort Wayne in Fort Wayne?

15D2149009, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Five Star Residences of Fort Wayne hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2149009 expire?

The CMS file lists May 22, 2028 as the certificate expiration date; the certificate took effect May 23, 2026.

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