CLIA lab

CLIA 15D0959639: Brentwood Assisted Living Community

La Porte, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 15D0959639 belongs to Brentwood Assisted Living Community in La Porte, IN.

Certificate of Waiver, effective April 15, 2025, expires April 14, 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
April 15, 2025
Certificate expiration
April 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
April 15, 1999
Facility type
Other
Ownership (control type)
Private
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
15D0959639
Lab name
Brentwood Assisted Living Community
Address
2002 Andrew AVE/1ST Flr Nur Station, La Porte, IN 46350
Phone
(219) 325-1599
Fax
(219) 362-1682

Annual test volume the lab reported

Waived tests
5,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in La Porte, IN

Related

Questions

What is the CLIA number for Brentwood Assisted Living Community in La Porte?

15D0959639, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Brentwood Assisted Living Community hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D0959639 expire?

The CMS file lists April 14, 2027 as the certificate expiration date; the certificate took effect April 15, 2025.

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