15D1084866 CLIA NUMBER - PARKVIEW UROLOGY

Laboratory Demographics

  • CLIA Code: 15D1084866
  • Facility Name: PARKVIEW UROLOGY
  • Facility Address: 11141 PARKVIEW PLAZA DR STE 320
    FORT WAYNE, IN
    ZIP 46845
  • Facility Phone: 260 373-9728
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SCOTT L. PALMER
  • NPI Number: 1942428420
  • Taxonomy: 3336I0012X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D1084866
LAB Type Physician Office
Facility Name PARKVIEW UROLOGY
Street 11141 PARKVIEW PLAZA DR STE 320
City FORT WAYNE
State IN
ZIP 46845
Phone 260 373-9728
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2024
Certificate Expiration Date 4/28/2026
Facility Type Physician Office
Lab Director SCOTT L. PALMER

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