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ESSENTIAL LAB
NPI 1063178127
Clinic/Center in Fort Wayne, IN

Active since November 12, 2021CLIA 15D2240358 · Waiver
6324 CONSTITUTION DR, FORT WAYNE, IN 46804(260) 467-9837 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 7, 2025, Nov 12, 2021 (2 updates tracked since 2021).

About Essential Lab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ESSENTIAL LAB (NPI 1063178127) is a healthcare organization registered as a clinic/center in Fort Wayne, Indiana and active in the NPI registry since November 2021. The organization holds a CLIA Waiver certificate valid through October 18, 2027 and lists Sedricka Epperson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1063178127
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameESSENTIAL LAB
Location Address6324 CONSTITUTION DRFort Wayne, IN 46804-1518
Mailing Address6324 Constitution DrFort Wayne, IN 46804-1518 · (260) 467-9837
Phone(260) 467-9837
Organization SubpartNo
Authorized OfficialSedricka EppersonCeo · (260) 467-9837
Enumeration DateNovember 12, 2021
Last NPPES UpdateApril 7, 20252 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1063178127 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedNursing CareTaxonomy 251J00000X
Also ListedPublic Health or WelfareTaxonomy 251K00000X
6324 CONSTITUTION DR, Fort Wayne, IN 46804
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2240358

Essential Lab, LLC · Fort Wayne, IN
Active · expires Oct 18, 2027
CLIA Number15D2240358
Laboratory TypeIndependent
Certificate Effective DateOctober 19, 2025
Certificate Expiration DateOctober 18, 2027
Laboratory DirectorSedricka J. Epperson
Laboratory Phone(260) 467-9838
Laboratory LocationEssential Lab, LLC4656 W Jefferson Blvd Suite 125, Fort Wayne, IN 46804
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ANN NATASHA ELLIOTT FNP-C
Nurse Practitioner (Family)
6324 CONSTITUTION DR
FORT WAYNE, IN 46804
Allen County (260) 432-7339
ALLEN COUNTY WELLNESS CENTER LLC
Nurse Practitioner (Family)
6324 CONSTITUTION DR
FORT WAYNE, IN 46804
Allen County (260) 432-7339

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Essential Lab's NPI number?

The NPI number for Essential Lab is 1063178127. It was assigned to this organization in the NPPES registry on November 12, 2021.

Where is Essential Lab located?

Essential Lab is located at 6324 Constitution Dr, Fort Wayne, IN 46804. The listed phone number is (260) 467-9837.

What is Essential Lab's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Essential Lab hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2240358) is associated with this NPI, valid through October 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Essential Lab was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.