15D2022383 CLIA NUMBER - APPLESEED DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D2022383
  • Facility Name: APPLESEED DIALYSIS
  • Facility Address: 1833 MAGNAVOX WAY
    FORT WAYNE, IN
    ZIP 46804
  • Facility Phone: 260 432-1036
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IRFAN MUNIR
  • NPI Number: 1093012544
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2022383
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name APPLESEED DIALYSIS
Street 1833 MAGNAVOX WAY
City FORT WAYNE
State IN
ZIP 46804
Phone 260 432-1036
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/1/2025
Certificate Expiration Date 3/31/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director IRFAN MUNIR

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