15D2014253 CLIA NUMBER - BRIGHTSTAR CARE OF FORT WAYNE

Laboratory Demographics

  • CLIA Code: 15D2014253
  • Facility Name: BRIGHTSTAR CARE OF FORT WAYNE
  • Facility Address: 333 E WASHINGTON BLVD
    FORT WAYNE, IN
    ZIP 46802
  • Facility Phone: 260 918-0933
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: COURTNEY BOLEN
  • NPI Number: 1144534793
  • Taxonomy: 251E00000X - Home Health

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2014253
LAB Type Home Health Agency
Facility Name BRIGHTSTAR CARE OF FORT WAYNE
Street 333 E WASHINGTON BLVD
City FORT WAYNE
State IN
ZIP 46802
Phone 260 918-0933
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/5/2024
Certificate Expiration Date 10/4/2026
Facility Type Home Health Agency
Lab Director COURTNEY BOLEN

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