15D2319515 CLIA NUMBER - FORT WAYNE ON THE GO MOBILE DRUG & ALCOHOL TESTING, LLC

Laboratory Demographics

  • CLIA Code: 15D2319515
  • Facility Name: FORT WAYNE ON THE GO MOBILE DRUG & ALCOHOL TESTING, LLC
  • Facility Address: 1351 ELIZA ST
    FT WAYNE, IN
    ZIP 46803
  • Facility Phone: 260 702-6231
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: VELESTHER L. ELEY
  • NPI Number: 1679802342
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 15D2319515
LAB Type Mobile Laboratory
Facility Name FORT WAYNE ON THE GO MOBILE DRUG & ALCOHOL TESTING, LLC
Street 1351 ELIZA ST
City FT WAYNE
State IN
ZIP 46803
Phone 260 702-6231
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Mobile Laboratory
Lab Director VELESTHER L. ELEY

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