15D2069916 CLIA NUMBER - GREY STONE HEALTH & REHAB CTR

Laboratory Demographics

  • CLIA Code: 15D2069916
  • Facility Name: GREY STONE HEALTH & REHAB CTR
  • Facility Address: 10445 DUPONT OAKS BLVD
    FORT WAYNE, IN
    ZIP 46845
  • Facility Phone: 260 471-4770
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: ERIC M. HUNTER
  • NPI Number: 1154766459
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2069916
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name GREY STONE HEALTH & REHAB CTR
Street 10445 DUPONT OAKS BLVD
City FORT WAYNE
State IN
ZIP 46845
Phone 260 471-4770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/5/2023
Certificate Expiration Date 12/4/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director ERIC M. HUNTER

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