CLIA lab
CLIA 15D1000989: Grossnickle Eye Center Inc
Mishawaka, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1000989 belongs to Grossnickle Eye Center Inc in Mishawaka, IN.
Certificate of Waiver, effective June 27, 2026, expires June 26, 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
- June 27, 2026
- Certificate expiration
- June 26, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 27, 2002
- 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
- 15D1000989
- Lab name
- Grossnickle Eye Center Inc
- Address
- 4330 Edison Lake Pkwy Ste A, Mishawaka, IN 46545
- Phone
- (574) 271-0120
- Fax
- (574) 273-4108
Annual test volume the lab reported
- Waived tests
- 2
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Grossnickle Eye Center Inc in Mishawaka?
15D1000989, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grossnickle Eye Center Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1000989 expire?
The CMS file lists June 26, 2028 as the certificate expiration date; the certificate took effect June 27, 2026.