15D2263303 CLIA NUMBER - CATARACT AND LASER INSTITUTE FORT WAYNE #26

Laboratory Demographics

  • CLIA Code: 15D2263303
  • Facility Name: CATARACT AND LASER INSTITUTE FORT WAYNE #26
  • Facility Address: 7755 W JEFFERSON BLVD
    FORT WAYNE, IN
    ZIP 46804
  • Facility Phone: (260) 459-8400
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GERTA MANE
  • NPI Number: 1346421088
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 15D2263303
LAB Type Physician Office
Facility Name CATARACT AND LASER INSTITUTE FORT WAYNE #26
Street 7755 W JEFFERSON BLVD
City FORT WAYNE
State IN
ZIP 46804
Phone 2604598400
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2024
Certificate Expiration Date 6/26/2026
Facility Type Physician Office
Lab Director GERTA MANE

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This page was last updated on: 5/18/2026