CLIA lab
CLIA 15D1094731: ST Mary Medical Center Outpatient Center
Portage, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1094731 belongs to ST Mary Medical Center Outpatient Center in Portage, IN.
Certificate of Waiver, effective June 21, 2025, expires June 20, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- June 21, 2025
- Certificate expiration
- June 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 26, 2009
- Facility type
- Ancillary test site
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D1094731
- Lab name
- ST Mary Medical Center Outpatient Center
- Address
- 3170 Willowcreek Rd, Portage, IN 46368
- Phone
- (219) 947-6263
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.
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 ST Mary Medical Center Outpatient Center in Portage?
15D1094731, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Mary Medical Center Outpatient Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1094731 expire?
The CMS file lists June 20, 2027 as the certificate expiration date; the certificate took effect June 21, 2025.