CLIA lab
CLIA 15D1036004: Northshore Health Centers/Scottdale
Portage, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1036004 belongs to Northshore Health Centers/Scottdale in Portage, IN.
Certificate of Waiver, effective February 23, 2025, expires February 22, 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 Waiver
- Certificate effective
- February 23, 2025
- Certificate expiration
- February 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 18, 2005
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D1036004
- Lab name
- Northshore Health Centers/Scottdale
- Address
- 6050 Sterling Creek Road, Portage, IN 46368
- Phone
- (219) 763-8112
- Fax
- (219) 763-8934
Annual test volume the lab reported
- Waived tests
- 10,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Portage, IN
- Associated PediatriciansCertificate of Waiver, Physician office15D0706049
- Better Life MD PCCertificate of Waiver, Physician office15D2190715
- Brickyard Healthcare - Portage Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0683454
- Chhabra Medical Corporation at Portage HealthCertificate of Waiver, Physician office15D0355892
- Community Care NetworkCertificate of Waiver, Physician office15D1104008
- Community Care Network, IncCertificate of Waiver, Physician office15D2174116
- Community Care Network-WillowcreekCertificate of Waiver, Physician office15D2100928
- Dialysis CTR of Portage, LLC, theCertificate of Waiver, End stage renal disease dialysis facility15D2110664
- Home Health Crusaders IncorporatedCertificate of Waiver, Home health agency15D0911664
- Illinois Dermatology InstituteCertificate of Compliance, Physician office15D1040846
Related
Questions
What is the CLIA number for Northshore Health Centers/Scottdale in Portage?
15D1036004, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northshore Health Centers/Scottdale hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1036004 expire?
The CMS file lists February 22, 2027 as the certificate expiration date; the certificate took effect February 23, 2025.