CLIA lab
CLIA 15D0925904: Porter Phyician Services LLC-
Portage, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0925904 belongs to Porter Phyician Services LLC- in Portage, IN.
Certificate of Waiver, effective July 23, 2026, expires July 22, 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
- July 23, 2026
- Certificate expiration
- July 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 10, 1997
- 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
- 15D0925904
- Lab name
- Porter Phyician Services LLC-
- Additional name
- Portage Medical Group
- Address
- 3630 Willowcreek Rd, Portage, IN 46368
- Phone
- (219) 364-3700
- Fax
- (219) 759-1197
Annual test volume the lab reported
- Waived tests
- 25,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Portage, IN
- Associated PediatriciansCertificate of Waiver, Physician office15D0706049
- Better Life MD PCCertificate of Waiver, Physician office15D2190715
- Brickyard Healthcare - Portage Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0683454
- Chhabra Medical Corporation at Portage HealthCertificate of Waiver, Physician office15D0355892
- Community Care NetworkCertificate of Waiver, Physician office15D1104008
- Community Care Network, IncCertificate of Waiver, Physician office15D2174116
- Community Care Network-WillowcreekCertificate of Waiver, Physician office15D2100928
- Dialysis CTR of Portage, LLC, theCertificate of Waiver, End stage renal disease dialysis facility15D2110664
- Home Health Crusaders IncorporatedCertificate of Waiver, Home health agency15D0911664
- Illinois Dermatology InstituteCertificate of Compliance, Physician office15D1040846
Related
Questions
What is the CLIA number for Porter Phyician Services LLC- in Portage?
15D0925904, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Porter Phyician Services LLC- hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0925904 expire?
The CMS file lists July 22, 2028 as the certificate expiration date; the certificate took effect July 23, 2026.