15D2043087 CLIA NUMBER - LUTHERAN HOMES, INC

Laboratory Demographics

  • CLIA Code: 15D2043087
  • Facility Name: LUTHERAN HOMES, INC
  • Facility Address: 9802 COLDWATER ROAD
    FORT WAYNE, IN
    ZIP 46825
  • Facility Phone: 260 447-1591
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: DANA ROACH
  • NPI Number: 1134493281
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2043087
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name LUTHERAN HOMES, INC
Street 9802 COLDWATER ROAD
City FORT WAYNE
State IN
ZIP 46825
Phone 260 447-1591
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director DANA ROACH

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