CLIA lab
CLIA 15D1073801: Broadwest Specialty Surgical CT LLC
Merrillville, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1073801 belongs to Broadwest Specialty Surgical CT LLC in Merrillville, IN.
Certificate of Waiver, effective September 17, 2025, expires September 16, 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
- September 17, 2025
- Certificate expiration
- September 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 17, 2007
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Proprietary
- 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
- 15D1073801
- Lab name
- Broadwest Specialty Surgical CT LLC
- Address
- 315 W 89th Ave, Merrillville, IN 46410
- Phone
- (219) 757-5275
- Fax
- (219) 757-5292
Annual test volume the lab reported
- Waived tests
- 625
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Adiel Home Health Services LLCCertificate of Waiver, Home health agency15D2003432
- Aleravia LLCCertificate of Waiver, Other15D2348245
- Alpha CDL & Dot Physicals, LLCCertificate of Waiver, Other practitioner15D2213363
- American Home Health Services, IncCertificate of Waiver, Home health agency15D1045170
- Aviva Senior Living MerrillvilleCertificate of Waiver, Assisted living facility15D2281787
- Axess Clinic and Diagnostic LLCCertificate of Waiver, Physician office15D2342752
- Belvedere Senior HousingCertificate of Waiver, Assisted living facility15D2137513
Related
Questions
What is the CLIA number for Broadwest Specialty Surgical CT LLC in Merrillville?
15D1073801, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Broadwest Specialty Surgical CT LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1073801 expire?
The CMS file lists September 16, 2027 as the certificate expiration date; the certificate took effect September 17, 2025.