CLIA Code Details

Clinical Laboratory Code : 15D2316864

SANIBEL (INTERMEDIATE CARE FACILITY FOR MENTALLY RETARDED)

Clinical Laboratory Information

Similar CLIA Codes
CLIA Number 15D2316864
Clinical laboratory number
Lab Name SANIBEL
Laboratory Name
Lab Type Intermediate Care Facility for Mentally Retarded
Laboratory Type
Certificate Type Waiver
Clinical laboratory certificate type

Contacts

Phone 260-486-6904
Laboratory telephone number
Fax 260-469-3851
Fax number of the provider.

Facility Location

Street Address 3335 SANIBEL DR
Primary location adress line
City FORT WAYNE
Primary location city name
State IN
Primary location state name
Zip 46815
Primary location postal code

Directions to "SANIBEL" Facility Location

Yours Location (Starting point) Practice Location (Destination)

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