CLIA lab
CLIA 15D0357003: Kosciusko Medical Group Lcc/Northern Lakes
Warsaw, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0357003 belongs to Kosciusko Medical Group Lcc/Northern Lakes in Warsaw, IN.
Certificate of Waiver, effective September 1, 2025, expires August 31, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 1, 2025
- Certificate expiration
- August 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 5, 1993
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D0357003
- Lab name
- Kosciusko Medical Group Lcc/Northern Lakes
- Additional name
- Medical Associates
- Address
- 1205 Provident Dri Ste A, Warsaw, IN 46580
- Phone
- (574) 269-8383
- Fax
- (574) 269-8384
Annual test volume the lab reported
- Waived tests
- 85
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Warsaw, IN
- Allergy and Asthma Center-Warsaw theCertificate of Waiver, Physician office15D1067746
- American Oncology Partners, PA DBA FT WayneCertificate of Accreditation, Physician office15D2319619
- Bowen Health Clinic - WarsawCertificate of Waiver, Federally qualified health center15D2297141
- Cardinal Services, Inc of IndianaCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities15D1002738
- Cedar Creek of WarsawCertificate of Waiver, Assisted living facility15D1043330
- Cleanslate CentersCertificate of Waiver, Physician office15D2161423
- Early Start Prenatal ClinicCertificate of Waiver, Community clinic15D0939170
- Flourish MedicalCertificate of Waiver, Physician office15D2346583
- Forefront Dermatology, S CCertificate for Provider-Performed Microscopy Procedures, Physician office15D2149106
- Fresenius Medical Care WarsawCertificate of Waiver, End stage renal disease dialysis facility15D0868460
Related
Questions
What is the CLIA number for Kosciusko Medical Group Lcc/Northern Lakes in Warsaw?
15D0357003, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kosciusko Medical Group Lcc/Northern Lakes hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0357003 expire?
The CMS file lists August 31, 2027 as the certificate expiration date; the certificate took effect September 1, 2025.