CLIA lab
CLIA 15D1040846: Illinois Dermatology Institute
Portage, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1040846 belongs to Illinois Dermatology Institute in Portage, IN.
Certificate of Compliance, effective October 3, 2025, expires October 2, 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 Compliance
- Certificate effective
- October 3, 2025
- Certificate expiration
- October 2, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 18, 2005
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D1040846
- Lab name
- Illinois Dermatology Institute
- Address
- 3190 Lancer St, Portage, IN 46368
- Phone
- (219) 764-3600
- Fax
- (219) 764-3661
Annual test volume the lab reported
- Waived tests
- 100
- Other nonwaived tests
- 800
- Total
- 900
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
- Innovative Women's HealthCertificate of Waiver, Physician office15D2008396
Related
Questions
What is the CLIA number for Illinois Dermatology Institute in Portage?
15D1040846, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Illinois Dermatology Institute hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 15D1040846 expire?
The CMS file lists October 2, 2027 as the certificate expiration date; the certificate took effect October 3, 2025.