CLIA lab
CLIA 15D0921051: Atria Tanglewood Trace
Mishawaka, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0921051 belongs to Atria Tanglewood Trace in Mishawaka, IN.
Certificate of Waiver, effective October 17, 2026, expires October 16, 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
- October 17, 2026
- Certificate expiration
- October 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 17, 1996
- Facility type
- Assisted living facility
- 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
- 15D0921051
- Lab name
- Atria Tanglewood Trace
- Address
- 530 Tanglewood Lane, Mishawaka, IN 46545
- Phone
- (574) 277-4310
- Fax
- (574) 277-6509
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.
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- Beacon Imaging MishawakaCertificate of Waiver, Independent15D2340025
- Beacon Med GRP Schwartz-WeikampCertificate for Provider-Performed Microscopy Procedures, Physician office15D0929003
- Beacon Medical GroupCertificate of Waiver, Physician office15D2281931
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- Brickyard Healthcare - Fountainview Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0663336
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Related
Questions
What is the CLIA number for Atria Tanglewood Trace in Mishawaka?
15D0921051, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Atria Tanglewood Trace hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0921051 expire?
The CMS file lists October 16, 2028 as the certificate expiration date; the certificate took effect October 17, 2026.