15D2117939 CLIA NUMBER - DUSTON DIALYSIS, LLC D/B/A FORT WAYNE NORTH DIALYSIS

Laboratory Demographics

  • CLIA Code: 15D2117939
  • Facility Name: DUSTON DIALYSIS, LLC D/B/A FORT WAYNE NORTH DIALYSIS
  • Facility Address: 415 E DUPONT RD
    FORT WAYNE, IN
    ZIP 46825
  • Facility Phone: 260 637-0431
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: IRFAN MUNIR
  • NPI Number: 1558716019
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2117939
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name DUSTON DIALYSIS, LLC D/B/A FORT WAYNE NORTH DIALYSIS
Street 415 E DUPONT RD
City FORT WAYNE
State IN
ZIP 46825
Phone 260 637-0431
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/26/2024
Certificate Expiration Date 8/25/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director IRFAN MUNIR

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