Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
15D2026190
|
|
Clinical laboratory number
|
|
Lab Name
|
CROSSROAD CHILD AND FAMILY SERVICES
|
|
Laboratory Name
|
|
Lab Type
|
Other - LICENSED RESIDENTIAL FACI
|
|
Laboratory Type
|
|
Certificate Type
|
Waiver
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
260-484-4153
|
|
Laboratory telephone number
|
|
Fax
|
260-484-6194
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1825 BEACON STREET
|
|
Primary location adress line
|
|
City
|
FORT WAYNE
|
|
Primary location city name
|
|
State
|
IN
|
|
Primary location state name
|
|
Zip
|
46805
|
|
Primary location postal code
|