15D1099527 CLIA NUMBER - ALLEN COUNTY CARDIOLOGY LLC

Laboratory Demographics

  • CLIA Code: 15D1099527
  • Facility Name: ALLEN COUNTY CARDIOLOGY LLC
  • Facility Address: 10020 DUPONT CIR 140
    FORT WAYNE, IN
    ZIP 46825
  • Facility Phone: 260 423-1331
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NAVEEN LAL
  • NPI Number: 1427276773
  • Taxonomy: 207RC0000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D1099527
LAB Type Physician Office
Facility Name ALLEN COUNTY CARDIOLOGY LLC
Street 10020 DUPONT CIR 140
City FORT WAYNE
State IN
ZIP 46825
Phone 260 423-1331
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/15/2025
Certificate Expiration Date 5/14/2027
Facility Type Physician Office
Lab Director NAVEEN LAL

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