15D1084866 CLIA NUMBER - PARKVIEW PHYSICIANS GRP/UROLOGY

Laboratory Demographics

CLIA Number: 15D1084866

Facility Name: PARKVIEW PHYSICIANS GRP/UROLOGY

Facility Address:
11141 PARKVIEW PLAZA DR STE 320
FORT WAYNE, IN
ZIP 46845
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Facility Phone Number: 260 373-9728

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1942428420

Taxonomy: 3336I0012X - Pharmacy
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	15D1084866
LAB Type	Physician Office
Facility Name	PARKVIEW PHYSICIANS GRP/UROLOGY
Street	11141 PARKVIEW PLAZA DR STE 320
City	FORT WAYNE
State	IN
ZIP	46845
Phone	260 373-9728
CertificateType	3
CertificateEffectiveDate	1/9/2024
CertificateExpirationDate	1/8/2026
FacilityType	PPMP

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This page was last updated on: 4/23/2024