CLIA lab
CLIA 15D0357858: PPG South Whitley
South Whitley, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0357858 belongs to PPG South Whitley in South Whitley, IN.
Certificate of Waiver, effective December 21, 2024, expires December 20, 2026.
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
- December 21, 2024
- Certificate expiration
- December 20, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- 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
- 15D0357858
- Lab name
- PPG South Whitley
- Address
- 4665 S State Road 5, South Whitley, IN 46787
- Phone
- (260) 429-6046
- Fax
- (260) 425-6049
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for PPG South Whitley in South Whitley?
15D0357858, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does PPG South Whitley hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0357858 expire?
The CMS file lists December 20, 2026 as the certificate expiration date; the certificate took effect December 21, 2024.