15D1068091 CLIA NUMBER - PARKVIEW HOSPITAL

Laboratory Demographics

  • CLIA Code: 15D1068091
  • Facility Name: PARKVIEW HOSPITAL
  • Facility Address: 2200 RANDALLIA DR
    FORT WAYNE, IN
    ZIP 46805
  • Facility Phone: 260 484-6636
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: DR. MARZENA MULLER
  • NPI Number: 1972957041
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D1068091
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PARKVIEW HOSPITAL
Street 2200 RANDALLIA DR
City FORT WAYNE
State IN
ZIP 46805
Phone 260 484-6636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. MARZENA MULLER

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