15D2046556 CLIA NUMBER - LUTHERAN HOSPITAL CARDIOPULMONARY REHAB

Laboratory Demographics

  • CLIA Code: 15D2046556
  • Facility Name: LUTHERAN HOSPITAL CARDIOPULMONARY REHAB
  • Facility Address: 7916 W JEFFERSON BLVD
    FORT WAYNE, IN
    ZIP 46804
  • Facility Phone: 260 435-7154
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: STEVEN JONES
  • NPI Number: 1073776399
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D2046556
LAB Type Hospital
Facility Name LUTHERAN HOSPITAL CARDIOPULMONARY REHAB
Street 7916 W JEFFERSON BLVD
City FORT WAYNE
State IN
ZIP 46804
Phone 260 435-7154
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/6/2024
Certificate Expiration Date 9/5/2026
Facility Type Hospital
Lab Director STEVEN JONES

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This page was last updated on: 6/4/2025