15D0358022 CLIA NUMBER - PEDIATRIC ASSOCIATES INC

Laboratory Demographics

  • CLIA Code: 15D0358022
  • Facility Name: PEDIATRIC ASSOCIATES INC
  • Facility Address: 7910 W JEFFERSON BLVD STE 201
    FORT WAYNE, IN
    ZIP 46804
  • Facility Phone: (260) 436-3789
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANDREW P. LANDRIGAN
  • NPI Number: 1659375079
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 15D0358022
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES INC
Street 7910 W JEFFERSON BLVD STE 201
City FORT WAYNE
State IN
ZIP 46804
Phone 2604363789
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2026
Certificate Expiration Date 5/30/2028
Facility Type Physician Office
Lab Director DR. ANDREW P. LANDRIGAN

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This page was last updated on: 5/18/2026