CLIA lab
CLIA 15D0677091: Lutheran Medical Group LLC
Fort Wayne, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0677091 belongs to Lutheran Medical Group LLC in Fort Wayne, IN.
Certificate of Waiver, effective December 12, 2025, expires December 11, 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
- December 12, 2025
- Certificate expiration
- December 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 10, 1995
- 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
- 15D0677091
- Lab name
- Lutheran Medical Group LLC
- Address
- 6515 Stellhorn Road, Suite 200, Fort Wayne, IN 46815
- Phone
- (260) 486-6197
- Fax
- (260) 486-9862
Annual test volume the lab reported
- Waived tests
- 2,500
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 Lutheran Medical Group LLC in Fort Wayne?
15D0677091, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lutheran Medical Group LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0677091 expire?
The CMS file lists December 11, 2027 as the certificate expiration date; the certificate took effect December 12, 2025.