15D0955355 CLIA NUMBER - FORT WAYNE ENDOCRINOLOGY

Laboratory Demographics

  • CLIA Code: 15D0955355
  • Facility Name: FORT WAYNE ENDOCRINOLOGY
  • Facility Address: 5010 W JEFFERSON BLVD
    FORT WAYNE, IN
    ZIP 46804
  • Facility Phone: 260 436-1248
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ASHOK KADAMBI
  • NPI Number: 1285786111
  • Taxonomy: 207RE0101X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D0955355
LAB Type Physician Office
Facility Name FORT WAYNE ENDOCRINOLOGY
Street 5010 W JEFFERSON BLVD
City FORT WAYNE
State IN
ZIP 46804
Phone 260 436-1248
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/9/2023
Certificate Expiration Date 12/8/2025
Facility Type Physician Office
Lab Director DR. ASHOK KADAMBI

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