15D2272160 CLIA NUMBER - FWBH, LLC D/B/A MAPLE HEIGHTS BEHAVIORAL HEALTH

Laboratory Demographics

  • CLIA Code: 15D2272160
  • Facility Name: FWBH, LLC D/B/A MAPLE HEIGHTS BEHAVIORAL HEALTH
  • Facility Address: 3955 WEST WASHINGTON CENTER ROAD
    FORT WAYNE, IN
    ZIP 46818
  • Facility Phone: (260) 800-3601
  • Facility Type: Other - PSYCHIATRIC HOSPITAL
  • Facility Type: Waiver
  • Lab Director: BREANA KESTER
  • NPI Number: 1932843117
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 15D2272160
LAB Type Other - PSYCHIATRIC HOSPITAL
Facility Name FWBH, LLC D/B/A MAPLE HEIGHTS BEHAVIORAL HEALTH
Street 3955 WEST WASHINGTON CENTER ROAD
City FORT WAYNE
State IN
ZIP 46818
Phone 2608003601
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/15/2024
Certificate Expiration Date 11/14/2026
Facility Type Other - PSYCHIATRIC HOSPITAL
Lab Director BREANA KESTER

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