CLIA lab

CLIA 15D1024488: Cleveland Road Med GRP

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

CLIA number 15D1024488 belongs to Cleveland Road Med GRP in South Bend, IN.

Certificate of Waiver, effective August 1, 2026, expires July 31, 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
August 1, 2026
Certificate expiration
July 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 13, 2004
Facility type
Physician office
Ownership (control type)
Private
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
15D1024488
Lab name
Cleveland Road Med GRP
Address
2235 Cleveland Rd, South Bend, IN 46628
Phone
(574) 647-4530
Fax
(574) 647-4531

Annual test volume the lab reported

Waived tests
2,500

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 Cleveland Road Med GRP in South Bend?

15D1024488, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Cleveland Road Med GRP hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D1024488 expire?

The CMS file lists July 31, 2028 as the certificate expiration date; the certificate took effect August 1, 2026.

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