15D2290152 CLIA NUMBER - ANEW HOSPICE FT WAYNE, LLC

Laboratory Demographics

  • CLIA Code: 15D2290152
  • Facility Name: ANEW HOSPICE FT WAYNE, LLC
  • Facility Address: 7833 WEST JEFFERSON BOULEVARD SUITE 400
    FORT WAYNE, IN
    ZIP 46804
  • Facility Phone: 317 300-2292
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: SHEA BECHTOLD
  • NPI Number: 1538540638
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 15D2290152
LAB Type Hospice
Facility Name ANEW HOSPICE FT WAYNE, LLC
Street 7833 WEST JEFFERSON BOULEVARD SUITE 400
City FORT WAYNE
State IN
ZIP 46804
Phone 317 300-2292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Hospice
Lab Director SHEA BECHTOLD

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