CLIA lab

CLIA 15D1069952: Saint Joseph Medical Group

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

CLIA number 15D1069952 belongs to Saint Joseph Medical Group in Plymouth, IN.

Certificate of Waiver, effective March 4, 2026, expires March 3, 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
March 4, 2026
Certificate expiration
March 3, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 18, 2007
Facility type
Physician office
Ownership (control type)
Religious affiliation
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
15D1069952
Lab name
Saint Joseph Medical Group
Address
1919 Lake Ave Ste 106, Plymouth, IN 46563
Phone
(574) 335-5220
Fax
(574) 335-0859

Annual test volume the lab reported

Waived tests
73,000

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

Other labs in Plymouth, IN

Related

Questions

What is the CLIA number for Saint Joseph Medical Group in Plymouth?

15D1069952, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Saint Joseph Medical Group hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D1069952 expire?

The CMS file lists March 3, 2028 as the certificate expiration date; the certificate took effect March 4, 2026.

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