CLIA lab
CLIA 15D0647418: DBA Grace Village Health Care Facility Woodlawn
Winona Lake, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0647418 belongs to DBA Grace Village Health Care Facility Woodlawn in Winona Lake, 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
- May 21, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, county
- 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
- 15D0647418
- Lab name
- DBA Grace Village Health Care Facility Woodlawn
- Additional name
- Hospital
- Address
- 337 Grace Village Dr, Winona Lake, IN 46590
- Phone
- (574) 372-6100
- Fax
- (574) 372-6558
Annual test volume the lab reported
- Waived tests
- 19,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Grace Village Health Care FacilityCMS Care Compare ratings for the facility at the same street address
Other labs in Winona Lake, IN
Related
Questions
What is the CLIA number for DBA Grace Village Health Care Facility Woodlawn in Winona Lake?
15D0647418, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DBA Grace Village Health Care Facility Woodlawn hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0647418 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.