15D0901327 CLIA NUMBER - COMMUNITY HCA INC DBA COMMUNITY HOME HEALTH CARE

Laboratory Demographics

  • CLIA Code: 15D0901327
  • Facility Name: COMMUNITY HCA INC DBA COMMUNITY HOME HEALTH CARE
  • Facility Address: 4640 WEST JEFFERSON BLVD
    FORT WAYNE, IN
    ZIP 46804
  • Facility Phone: 260 441-8302
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: KAIA ZELT
  • NPI Number: 1740481894
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D0901327
LAB Type Home Health Agency
Facility Name COMMUNITY HCA INC DBA COMMUNITY HOME HEALTH CARE
Street 4640 WEST JEFFERSON BLVD
City FORT WAYNE
State IN
ZIP 46804
Phone 260 441-8302
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/22/2025
Certificate Expiration Date 5/21/2027
Facility Type Home Health Agency
Lab Director KAIA ZELT

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