CLIA lab
CLIA 15D2164630: Fort Wayne Vascular Care, LLC
Ft Wayne, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2164630 belongs to Fort Wayne Vascular Care, LLC in Ft Wayne, IN.
Certificate of Waiver, effective April 10, 2025, expires April 9, 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 10, 2025
- Certificate expiration
- April 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 10, 2019
- Facility type
- Ambulatory surgery center
- 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
- 15D2164630
- Lab name
- Fort Wayne Vascular Care, LLC
- Address
- 1833 Magnavox Way #100, Ft Wayne, IN 46804
- Phone
- (260) 918-0997
- Fax
- (260) 459-7885
Annual test volume the lab reported
- Waived tests
- 60
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Ft Wayne, IN
- Any Lab Test Now FT WayneCertificate of Waiver, Other15D2158670
- FT Wayne Cardiac, Integrative & Primary CareCertificate of Waiver, Physician office15D2178632
- 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
- M Teresa Tallon MDCertificate of Waiver, Physician office15D0678780
Related
Questions
What is the CLIA number for Fort Wayne Vascular Care, LLC in Ft Wayne?
15D2164630, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fort Wayne Vascular Care, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2164630 expire?
The CMS file lists April 9, 2027 as the certificate expiration date; the certificate took effect April 10, 2025.