15D0707610 CLIA NUMBER - WOODVIEW A WATERS COMMUNITY

Laboratory Demographics

  • CLIA Code: 15D0707610
  • Facility Name: WOODVIEW A WATERS COMMUNITY
  • Facility Address: 3420 EAST STATE BLVD
    FORT WAYNE, IN
    ZIP 46805
  • Facility Phone: 260 484-3120
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ROCHELLE MILLS
  • NPI Number: 1508123548
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D0707610
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WOODVIEW A WATERS COMMUNITY
Street 3420 EAST STATE BLVD
City FORT WAYNE
State IN
ZIP 46805
Phone 260 484-3120
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 ROCHELLE MILLS

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