15D2074123 CLIA NUMBER - PARK CENTER, INC INPATIENT

Laboratory Demographics

  • CLIA Code: 15D2074123
  • Facility Name: PARK CENTER, INC INPATIENT
  • Facility Address: 1909 CAREW ST
    FORT WAYNE, IN
    ZIP 46805
  • Facility Phone: 260 481-2809
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: XIAOYING WAN
  • NPI Number: 1457772402
  • Taxonomy: 283Q00000X - Psychiatric Hospital

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D2074123
LAB Type Hospital
Facility Name PARK CENTER, INC INPATIENT
Street 1909 CAREW ST
City FORT WAYNE
State IN
ZIP 46805
Phone 260 481-2809
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Hospital
Lab Director XIAOYING WAN

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