CLIA lab
CLIA 15D0963756: Kosciusko Medical Group Llc/Walnut Street Family
North Manchester, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0963756 belongs to Kosciusko Medical Group Llc/Walnut Street Family in North Manchester, IN.
Certificate of Waiver, effective September 4, 2026, expires September 3, 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
- September 4, 2026
- Certificate expiration
- September 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 9, 1999
- 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
- 15D0963756
- Lab name
- Kosciusko Medical Group Llc/Walnut Street Family
- Additional name
- Healthcare
- Address
- 605 N Walnut St, North Manchester, IN 46962
- Phone
- (260) 982-1994
- Fax
- (260) 982-9274
Annual test volume the lab reported
- Waived tests
- 1,150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in North Manchester, IN
- Manchester UniversityCertificate of Waiver, School or student health service15D2039950
- Midwest Eye Consultants #19Certificate of Waiver, Physician office15D2147612
- Parkview Wabash Health Clinic NorthCertificate of Waiver, Rural health clinic15D0358909
- Peabody Retirement CommunityCertificate of Waiver, Skilled nursing or nursing facility15D0358911
- Timbercrest Church of the Brethren Home, IncCertificate of Waiver, Skilled nursing or nursing facility15D0358912
- Webb's Family Pharmacy 3, LLCCertificate of Waiver, Pharmacy15D2258345
Related
Questions
What is the CLIA number for Kosciusko Medical Group Llc/Walnut Street Family in North Manchester?
15D0963756, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kosciusko Medical Group Llc/Walnut Street Family hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0963756 expire?
The CMS file lists September 3, 2028 as the certificate expiration date; the certificate took effect September 4, 2026.