15D2320064 CLIA NUMBER - GENTLEMIND SKILLED SERVICES LLC

Laboratory Demographics

  • CLIA Code: 15D2320064
  • Facility Name: GENTLEMIND SKILLED SERVICES LLC
  • Facility Address: 1449 E LEWIS ST SUITE 2
    FORT WAYNE, IN
    ZIP 46803
  • Facility Phone: 260 271-9533
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: DORIS C. OKOLI
  • NPI Number: 1629679170
  • Taxonomy: 253Z00000X - In Home Supportive Care

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CLIA Record

Field Name Field Value
CLIA Number 15D2320064
LAB Type Home Health Agency
Facility Name GENTLEMIND SKILLED SERVICES LLC
Street 1449 E LEWIS ST SUITE 2
City FORT WAYNE
State IN
ZIP 46803
Phone 260 271-9533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Home Health Agency
Lab Director DORIS C. OKOLI

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