Clinical Laboratory Information
Similar CLIA Codes
|
|
CLIA Number
|
15D0875257
|
|
Clinical laboratory number
|
|
Lab Name
|
NEIGHBORHOOD HEALTH CLINIC
|
|
Laboratory Name
|
|
Lab Type
|
Federally Qualified Health Center
|
|
Laboratory Type
|
|
Certificate Type
|
PPMP
|
|
Clinical laboratory certificate type
|
Contacts |
|
Phone
|
260-458-2641
|
|
Laboratory telephone number
|
|
Fax
|
260-458-2574
|
|
Fax number of the provider.
|
Facility Location |
|
Street Address
|
1717 SOUTH CALHOUN STREET
|
|
Primary location adress line
|
|
City
|
FORT WAYNE
|
|
Primary location city name
|
|
State
|
IN
|
|
Primary location state name
|
|
Zip
|
46802
|
|
Primary location postal code
|