15D2102684 CLIA NUMBER - EYE CENTER OF FORT WAYNE, THE

Laboratory Demographics

  • CLIA Code: 15D2102684
  • Facility Name: EYE CENTER OF FORT WAYNE, THE
  • Facility Address: 321 E WAYNE ST
    FORT WAYNE, IN
    ZIP 46802
  • Facility Phone: 260 424-5656
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN R. PARENT
  • NPI Number: 1538216023
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 15D2102684
LAB Type Physician Office
Facility Name EYE CENTER OF FORT WAYNE, THE
Street 321 E WAYNE ST
City FORT WAYNE
State IN
ZIP 46802
Phone 260 424-5656
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Physician Office
Lab Director JOHN R. PARENT

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