15D2085543 CLIA NUMBER - HERITAGE POINTE OF FORT WAYNE

Laboratory Demographics

  • CLIA Code: 15D2085543
  • Facility Name: HERITAGE POINTE OF FORT WAYNE
  • Facility Address: 5250 HERITAGE PKWY
    FORT WAYNE, IN
    ZIP 46835
  • Facility Phone: 260 209-6279
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: RODNEY CRAFT
  • NPI Number: 1801205240
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2085543
LAB Type Ancillary Testing Site in Health Care Center
Facility Name HERITAGE POINTE OF FORT WAYNE
Street 5250 HERITAGE PKWY
City FORT WAYNE
State IN
ZIP 46835
Phone 260 209-6279
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director RODNEY CRAFT

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