15D0995149 CLIA NUMBER - FRESENIUS MED CARE FT WAYNE DUPONT

Laboratory Demographics

  • CLIA Code: 15D0995149
  • Facility Name: FRESENIUS MED CARE FT WAYNE DUPONT
  • Facility Address: 10204 E DUPONT CIR DR
    FORT WAYNE, IN
    ZIP 46825
  • Facility Phone: 260 489-9255
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JOHN DUCKER
  • NPI Number: 1770698524
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0995149
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MED CARE FT WAYNE DUPONT
Street 10204 E DUPONT CIR DR
City FORT WAYNE
State IN
ZIP 46825
Phone 260 489-9255
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/2/2024
Certificate Expiration Date 6/1/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JOHN DUCKER

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This page was last updated on: 6/4/2025