15D0358230 CLIA NUMBER - HEALTH & HOSPITAL CORP OF MARION CO D/B/A SUMMIT CITY NURSING & REHABILITATION

Laboratory Demographics

  • CLIA Code: 15D0358230
  • Facility Name: HEALTH & HOSPITAL CORP OF MARION CO D/B/A SUMMIT CITY NURSING & REHABILITATION
  • Facility Address: 2940 N CLINTON STREET
    FORT WAYNE, IN
    ZIP 46805
  • Facility Phone: 260 484-0602
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JENNIFER LAPSLEY
  • NPI Number: 1932725942
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 15D0358230
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name HEALTH & HOSPITAL CORP OF MARION CO D/B/A SUMMIT CITY NURSING & REHABILITATION
Street 2940 N CLINTON STREET
City FORT WAYNE
State IN
ZIP 46805
Phone 260 484-0602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JENNIFER LAPSLEY

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