15D2286332 CLIA NUMBER - STELLHORN FREESTANDING EMERGENCY DEPARTMENT

Laboratory Demographics

  • CLIA Code: 15D2286332
  • Facility Name: STELLHORN FREESTANDING EMERGENCY DEPARTMENT
  • Facility Address: 6515 STELLHORN RD
    FORT WAYNE, IN
    ZIP 46815
  • Facility Phone: 260 425-3997
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Accreditation
  • Lab Director: LILI GENG
  • NPI Number: 1215411020
  • Taxonomy: 207QA0401X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D2286332
LAB Type Ancillary Testing Site in Health Care Center
Facility Name STELLHORN FREESTANDING EMERGENCY DEPARTMENT
Street 6515 STELLHORN RD
City FORT WAYNE
State IN
ZIP 46815
Phone 260 425-3997
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 3/22/2024
Certificate Expiration Date 3/21/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director LILI GENG

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