CLIA lab

CLIA 15D0977972: South Bend Medical Foundation/ Fcl-Allied

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

CLIA number 15D0977972 belongs to South Bend Medical Foundation/ Fcl-Allied in South Bend, IN.

Certificate of Compliance, effective September 13, 2025, expires September 12, 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 Compliance
Certificate effective
September 13, 2025
Certificate expiration
September 12, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 12, 2000
Facility type
Independent
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
15D0977972
Lab name
South Bend Medical Foundation/ Fcl-Allied
Additional name
Physician
Address
53990 Carmichael Dr Suite 200, South Bend, IN 46635
Phone
(574) 204-4295

Annual test volume the lab reported

Other nonwaived tests
200

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

Affiliated CLIA numbers

Other labs in South Bend, IN

Related

Questions

What is the CLIA number for South Bend Medical Foundation/ Fcl-Allied in South Bend?

15D0977972, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does South Bend Medical Foundation/ Fcl-Allied hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 15D0977972 expire?

The CMS file lists September 12, 2027 as the certificate expiration date; the certificate took effect September 13, 2025.

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