15D2278979 CLIA NUMBER - SOFIA HOME HEALTH CARE LLC

Laboratory Demographics

  • CLIA Code: 15D2278979
  • Facility Name: SOFIA HOME HEALTH CARE LLC
  • Facility Address: 3702 RUPP DRIVE STE 4
    FORT WAYNE, IN
    ZIP 46815
  • Facility Phone: 260 387-7808
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BAY SE
  • NPI Number: 1457075681
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D2278979
LAB Type Home Health Agency
Facility Name SOFIA HOME HEALTH CARE LLC
Street 3702 RUPP DRIVE STE 4
City FORT WAYNE
State IN
ZIP 46815
Phone 260 387-7808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/28/2025
Certificate Expiration Date 3/27/2027
Facility Type Home Health Agency
Lab Director BAY SE

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