15D0647509 CLIA NUMBER - SAINT ANNE HOME

Laboratory Demographics

  • CLIA Code: 15D0647509
  • Facility Name: SAINT ANNE HOME
  • Facility Address: 1900 RANDALIA DR
    FORT WAYNE, IN
    ZIP 46805
  • Facility Phone: 260 484-5555
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ELAINE A. WILSON
  • NPI Number: 1821092347
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0647509
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SAINT ANNE HOME
Street 1900 RANDALIA DR
City FORT WAYNE
State IN
ZIP 46805
Phone 260 484-5555
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 ELAINE A. WILSON

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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