CLIA lab
CLIA 15D0357443: Henry County Memorial Hospital
South Bend, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0357443 belongs to Henry County Memorial Hospital in South Bend, IN.
Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.
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, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 25, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, other
- 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
- 15D0357443
- Lab name
- Henry County Memorial Hospital
- Additional name
- DBA West Bend Nursing and Rehabilitation
- Address
- 4600 W Washington Ave, South Bend, IN 46619
- Phone
- (574) 282-1294
- Fax
- (574) 251-2260
Annual test volume the lab reported
- Waived tests
- 9,746
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- West Bend Nursing and RehabilitationCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for Henry County Memorial Hospital in South Bend?
15D0357443, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Henry County Memorial Hospital hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0357443 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.