CLIA lab
CLIA 15D0663338: Marshall County Wic Program
Plymouth, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0663338 belongs to Marshall County Wic Program in Plymouth, 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
- Other
- Ownership (control type)
- 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
- 15D0663338
- Lab name
- Marshall County Wic Program
- Address
- 510 W Adams, #240, Plymouth, IN 46563
- Phone
- (574) 936-8208
- Fax
- (574) 936-8205
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Plymouth, IN
- Beacon Medical Group PlymouthCertificate of Waiver, Physician office15D2346588
- Bowen Health Clinic - PlymouthCertificate of Waiver, Federally qualified health center15D2297082
- Concierge Medicine of Marshall CountyCertificate of Waiver, Physician office15D2213127
- Diagnostic Medicine PCCertificate of Waiver, Physician office15D2268760
- Fresenius Medical Care Nephrology Marshall CountyCertificate of Waiver, End stage renal disease dialysis facility15D1067816
- Kosciusko Medical GroupCertificate of Waiver, Physician office15D2275997
- Kroger Pharmacy 963Certificate of Waiver, Pharmacy15D1077179
- Lifeplex Medical, IncCertificate of Waiver, Physician office15D2297475
- Marian University's Ancilla CollegeCertificate of Waiver, School or student health service15D2218832
- Marshall County Health DepartmentCertificate of Waiver, Public health laboratory15D2126334
Related
Questions
What is the CLIA number for Marshall County Wic Program in Plymouth?
15D0663338, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Marshall County Wic Program hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0663338 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.