CLIA lab
CLIA 15D0906480: Saint Joseph Medical Group
Plymouth, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0906480 belongs to Saint Joseph Medical Group in Plymouth, IN.
Certificate of Waiver, effective April 10, 2025, expires April 9, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 10, 2025
- Certificate expiration
- April 9, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 2, 1995
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 15D0906480
- Lab name
- Saint Joseph Medical Group
- Address
- 1919 Lake Ave, Ste 110, Plymouth, IN 46563
- Phone
- (574) 948-5290
- Fax
- (574) 948-5495
Annual test volume the lab reported
- Waived tests
- 900
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 Saint Joseph Medical Group in Plymouth?
15D0906480, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Saint Joseph Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0906480 expire?
The CMS file lists April 9, 2027 as the certificate expiration date; the certificate took effect April 10, 2025.