15D0989673 CLIA NUMBER - PARKVIEW INTERNAL MED & PEDIATRICS

Laboratory Demographics

  • CLIA Code: 15D0989673
  • Facility Name: PARKVIEW INTERNAL MED & PEDIATRICS
  • Facility Address: 11123 PARKVIEW PLAZA DR STE 106
    FORT WAYNE, IN
    ZIP 46845
  • Facility Phone: 219 672-6550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD L. SARRAZINE
  • NPI Number: 1477638260
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0989673
LAB Type Physician Office
Facility Name PARKVIEW INTERNAL MED & PEDIATRICS
Street 11123 PARKVIEW PLAZA DR STE 106
City FORT WAYNE
State IN
ZIP 46845
Phone 219 672-6550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Physician Office
Lab Director RONALD L. SARRAZINE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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