15D0687295 CLIA NUMBER - MAJESTIC CARE OF JEFFERSON POINTE

Laboratory Demographics

  • CLIA Code: 15D0687295
  • Facility Name: MAJESTIC CARE OF JEFFERSON POINTE
  • Facility Address: 5700 WILKIE DR
    FORT WAYNE, IN
    ZIP 46804
  • Facility Phone: 260 432-7556
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: AMBER SHEPHERD
  • NPI Number: 1447739826
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D0687295
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAJESTIC CARE OF JEFFERSON POINTE
Street 5700 WILKIE DR
City FORT WAYNE
State IN
ZIP 46804
Phone 260 432-7556
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 AMBER SHEPHERD

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