15D0358332 CLIA NUMBER - RIVERVIEW HOSP DBA ENGLEWOOD HEALTH & REHAB CTR

Laboratory Demographics

  • CLIA Code: 15D0358332
  • Facility Name: RIVERVIEW HOSP DBA ENGLEWOOD HEALTH & REHAB CTR
  • Facility Address: 2237 ENGLE RD
    FORT WAYNE, IN
    ZIP 46809
  • Facility Phone: 260 747-2353
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: LAUREN MILLER
  • NPI Number: 1427165059
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0358332
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name RIVERVIEW HOSP DBA ENGLEWOOD HEALTH & REHAB CTR
Street 2237 ENGLE RD
City FORT WAYNE
State IN
ZIP 46809
Phone 260 747-2353
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 LAUREN MILLER

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