CLIA lab
CLIA 15D0904080: Michiana Hematology Oncology, P C
Mishawaka, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0904080 belongs to Michiana Hematology Oncology, P C in Mishawaka, IN.
Certificate of Waiver, effective May 5, 2025, expires May 4, 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
- May 5, 2025
- Certificate expiration
- May 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 7, 1995
- Facility type
- Hospital
- 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
- 15D0904080
- Lab name
- Michiana Hematology Oncology, P C
- Address
- 5340 Holy Cross Parkway, Mishawaka, IN 46545
- Phone
- (574) 237-1328
- Fax
- (574) 968-9442
Annual test volume the lab reported
- Waived tests
- 600
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 Michiana Hematology Oncology, P C in Mishawaka?
15D0904080, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Michiana Hematology Oncology, P C hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0904080 expire?
The CMS file lists May 4, 2027 as the certificate expiration date; the certificate took effect May 5, 2025.