15D1059476 CLIA NUMBER - AMEDISYS SP-IN LLC D/B/A AMEDISYS HOME HEALTH

Laboratory Demographics

  • CLIA Code: 15D1059476
  • Facility Name: AMEDISYS SP-IN LLC D/B/A AMEDISYS HOME HEALTH
  • Facility Address: 2200 LAKE AVENUE, SUITE 150
    FORT WAYNE, IN
    ZIP 46805
  • Facility Phone: 260 422-8900
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: BRENDA DILE
  • NPI Number: 1437103199
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D1059476
LAB Type Hospice
Facility Name AMEDISYS SP-IN LLC D/B/A AMEDISYS HOME HEALTH
Street 2200 LAKE AVENUE, SUITE 150
City FORT WAYNE
State IN
ZIP 46805
Phone 260 422-8900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Hospice
Lab Director BRENDA DILE

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