CLIA lab
CLIA 15D2284216: Appleseed Eyecare Fort Wayne Southwest
Fort Wayne, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2284216 belongs to Appleseed Eyecare Fort Wayne Southwest in Fort Wayne, IN.
Certificate of Waiver, effective June 20, 2025, expires June 19, 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
- June 20, 2025
- Certificate expiration
- June 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 20, 2023
- Facility type
- Other practitioner
- 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
- 15D2284216
- Lab name
- Appleseed Eyecare Fort Wayne Southwest
- Address
- 4626 W Jefferson Blvd, Fort Wayne, IN 46804
- Phone
- (260) 432-5502
- Fax
- (260) 432-8415
Annual test volume the lab reported
- Waived tests
- 100
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 Appleseed Eyecare Fort Wayne Southwest in Fort Wayne?
15D2284216, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Appleseed Eyecare Fort Wayne Southwest hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2284216 expire?
The CMS file lists June 19, 2027 as the certificate expiration date; the certificate took effect June 20, 2025.