15D2150602 CLIA NUMBER - PARKVIEW HEALTH COMMUNITY NURSING

Laboratory Demographics

  • CLIA Code: 15D2150602
  • Facility Name: PARKVIEW HEALTH COMMUNITY NURSING
  • Facility Address: 230 E DOUGLAS ST
    FT WAYNE, IN
    ZIP 46802
  • Facility Phone: 260 266-0234
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: MITCHELL STUCKY
  • NPI Number: 1851144638
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 15D2150602
LAB Type Community Clinic
Facility Name PARKVIEW HEALTH COMMUNITY NURSING
Street 230 E DOUGLAS ST
City FT WAYNE
State IN
ZIP 46802
Phone 260 266-0234
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/28/2024
Certificate Expiration Date 6/27/2026
Facility Type Community Clinic
Lab Director MITCHELL STUCKY

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