15D2305631 CLIA NUMBER - PARKVIEW HEALTH AT HOME, LLC

Laboratory Demographics

  • CLIA Code: 15D2305631
  • Facility Name: PARKVIEW HEALTH AT HOME, LLC
  • Facility Address: 1900 CAREW STREET SUITE 5
    FORT WAYNE, IN
    ZIP 46805
  • Facility Phone: 260 373-9800
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: JULIA HARTER
  • NPI Number: 1518962109
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D2305631
LAB Type Home Health Agency
Facility Name PARKVIEW HEALTH AT HOME, LLC
Street 1900 CAREW STREET SUITE 5
City FORT WAYNE
State IN
ZIP 46805
Phone 260 373-9800
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Home Health Agency
Lab Director JULIA HARTER

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