15D2321335 CLIA NUMBER - FEMME MED & SPA

Laboratory Demographics

  • CLIA Code: 15D2321335
  • Facility Name: FEMME MED & SPA
  • Facility Address: 5015 W JEFFERSON BLVD
    FORT WAYNE, IN
    ZIP 46804
  • Facility Phone: 260 252-4080
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASHLEY SCOTT
  • NPI Number: 1548066491
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 15D2321335
LAB Type Physician Office
Facility Name FEMME MED & SPA
Street 5015 W JEFFERSON BLVD
City FORT WAYNE
State IN
ZIP 46804
Phone 260 252-4080
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/2/2025
Certificate Expiration Date 4/1/2027
Facility Type Physician Office
Lab Director ASHLEY SCOTT

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