15D0358151 CLIA NUMBER - PARKVIEW UROLOGY CAREW

Laboratory Demographics

  • CLIA Code: 15D0358151
  • Facility Name: PARKVIEW UROLOGY CAREW
  • Facility Address: 2231 CAREW ST ENTRANCE 4
    FORT WAYNE, IN
    ZIP 46805
  • Facility Phone: 260 266-0234
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT L. PALMER
  • NPI Number: 1508872482
  • Taxonomy: 3416A0800X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 15D0358151
LAB Type Physician Office
Facility Name PARKVIEW UROLOGY CAREW
Street 2231 CAREW ST ENTRANCE 4
City FORT WAYNE
State IN
ZIP 46805
Phone 260 266-0234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Physician Office
Lab Director SCOTT L. PALMER

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This page was last updated on: 9/29/2025