15D0958642 CLIA NUMBER - ALLERGY AND ASTHMA CENTER,THE

Laboratory Demographics

  • CLIA Code: 15D0958642
  • Facility Name: ALLERGY AND ASTHMA CENTER,THE
  • Facility Address: 7222 ENGLE RD
    FORT WAYNE, IN
    ZIP 46804
  • Facility Phone: 219 432-5005
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM SMITS
  • NPI Number: 1386606911
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 15D0958642
LAB Type Physician Office
Facility Name ALLERGY AND ASTHMA CENTER,THE
Street 7222 ENGLE RD
City FORT WAYNE
State IN
ZIP 46804
Phone 219 432-5005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director WILLIAM SMITS

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