CLIA lab
CLIA 15D0962004: PPG FM Lagrange Detroit ST
Lagrange, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0962004 belongs to PPG FM Lagrange Detroit ST in Lagrange, IN.
Certificate of Waiver, effective January 15, 2025, expires January 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
- January 15, 2025
- Certificate expiration
- January 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 22, 1999
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 15D0962004
- Lab name
- PPG FM Lagrange Detroit ST
- Address
- 2600 N Detroit St, Lagrange, IN 46761
- Phone
- (260) 373-9728
- Fax
- (260) 458-5664
Annual test volume the lab reported
- Waived tests
- 416
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lagrange, IN
- Bowen Health Clinic - LagrangeCertificate of Waiver, Federally qualified health center15D2297138
- Crossroads Health and Cosmetic Center ofCertificate of Waiver, Independent15D2346448
- Everside Health-LagrangeCertificate of Waiver, Physician office15D2210628
- Everside Health-Lagrange PHSCertificate of Waiver, Physician office15D2279989
- Lagrange Co Health Dept Wic ProgramCertificate of Waiver, Other15D0663987
- Life Care Center of LagrangeCertificate of Waiver, Skilled nursing or nursing facility15D0858735
- Northeast Internal Medicine Assc PCCertificate of Waiver, Physician office15D1005772
- PPG UrologyCertificate of Waiver, Physician office15D2073697
- PSP - Loren Helmuth, General SurgeryCertificate of Waiver, Physician office15D2030261
- Parkview Lagrange HospitalCertificate of Accreditation, Hospital15D0357805
Related
Questions
What is the CLIA number for PPG FM Lagrange Detroit ST in Lagrange?
15D0962004, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does PPG FM Lagrange Detroit ST hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0962004 expire?
The CMS file lists January 14, 2027 as the certificate expiration date; the certificate took effect January 15, 2025.