CLIA lab

CLIA 15D1035173: DR Mary Tilak PC

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

CLIA number 15D1035173 belongs to DR Mary Tilak PC in Munster, IN.

Certificate of Waiver, effective December 22, 2024, expires December 21, 2026.

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
December 22, 2024
Certificate expiration
December 21, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 22, 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
15D1035173
Lab name
DR Mary Tilak PC
Address
9410 Calumet Ave Suite 101, Munster, IN 46321
Phone
(219) 922-8051
Fax
(219) 922-8608

Annual test volume the lab reported

Waived tests
200

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

Other labs in Munster, IN

Related

Questions

What is the CLIA number for DR Mary Tilak PC in Munster?

15D1035173, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does DR Mary Tilak PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D1035173 expire?

The CMS file lists December 21, 2026 as the certificate expiration date; the certificate took effect December 22, 2024.

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