15D0357930 CLIA NUMBER - LUTHERAN DOWNTOWN HOSPITAL

Laboratory Demographics

  • CLIA Code: 15D0357930
  • Facility Name: LUTHERAN DOWNTOWN HOSPITAL
  • Facility Address: 702 VAN BUREN STREET
    FORT WAYNE, IN
    ZIP 46802
  • Facility Phone: 260 425-3762
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: LILI GENG
  • NPI Number: 1962722991
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 15D0357930
LAB Type Hospital
Facility Name LUTHERAN DOWNTOWN HOSPITAL
Street 702 VAN BUREN STREET
City FORT WAYNE
State IN
ZIP 46802
Phone 260 425-3762
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 2/9/2025
Certificate Expiration Date 2/8/2027
Facility Type Hospital
Lab Director LILI GENG

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This page was last updated on: 3/20/2025