CLIA lab
CLIA 15D1013594: Lake Park Residential Care
Lake Station, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1013594 belongs to Lake Park Residential Care in Lake Station, IN.
Certificate of Waiver, effective June 12, 2025, expires June 11, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 12, 2025
- Certificate expiration
- June 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 12, 2003
- Facility type
- Other
- 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
- 15D1013594
- Lab name
- Lake Park Residential Care
- Address
- 2075 Ripley St, Lake Station, IN 46405
- Phone
- (219) 962-9437
- Fax
- (219) 962-7878
Annual test volume the lab reported
- Waived tests
- 10
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lake Station, IN
- Acl Home Care LLCCertificate of Waiver, Public health laboratory15D2216504
- Northshore Health Center -Lake StationCertificate of Waiver, Physician office15D1096642
- Northshore Hlth Ctrs-Edison Teen ClinicCertificate of Waiver, Federally qualified health center15D2074856
- Walgreens #06733Certificate of Waiver, Pharmacy15D2229642
Related
Questions
What is the CLIA number for Lake Park Residential Care in Lake Station?
15D1013594, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Park Residential Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1013594 expire?
The CMS file lists June 11, 2027 as the certificate expiration date; the certificate took effect June 12, 2025.