15D0889456 CLIA NUMBER - FORT WAYNE ORTHOPAEDICS LLC

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CLIA Record

Field Name Field Value
CLIA Number 15D0889456
LAB Type Physician Office
Facility Name FORT WAYNE ORTHOPAEDICS LLC
Street 7601 W JEFFERSON BLVD
City FORT WAYNE
State IN
ZIP 46804
Phone 260 436-8686
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2025
Certificate Expiration Date 9/29/2027
Facility Type Physician Office
Lab Director KEVIN A. RAHN

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