15D0358291 CLIA NUMBER - LUTHERAN HOSPITAL OF INDIANA

Laboratory Demographics

  • CLIA Code: 15D0358291
  • Facility Name: LUTHERAN HOSPITAL OF INDIANA
  • Facility Address: 7950 WEST JEFFERSON BOULEVARD
    FORT WAYNE, IN
    ZIP 46804
  • Facility Phone: 260 435-7001
  • Facility Type: Hospital
  • Facility Type: Accreditation
  • Lab Director: MARIGNY ROBERTS
  • NPI Number: 1124157961
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0358291
LAB Type Hospital
Facility Name LUTHERAN HOSPITAL OF INDIANA
Street 7950 WEST JEFFERSON BOULEVARD
City FORT WAYNE
State IN
ZIP 46804
Phone 260 435-7001
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 2/28/2025
Certificate Expiration Date 2/27/2027
Facility Type Hospital
Lab Director MARIGNY ROBERTS

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