CLIA lab
CLIA 15D1096642: Northshore Health Center -Lake Station
Lake Station, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1096642 belongs to Northshore Health Center -Lake Station in Lake Station, 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
- March 10, 2009
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D1096642
- Lab name
- Northshore Health Center -Lake Station
- Additional name
- Attn Robin Gonzales
- Address
- 2490 Central Ave, Lake Station, IN 46405
- Phone
- (219) 962-2760
- Fax
- (219) 962-1580
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lake Station, IN
- Acl Home Care LLCCertificate of Waiver, Public health laboratory15D2216504
- Lake Park Residential CareCertificate of Waiver, Other15D1013594
- Northshore Hlth Ctrs-Edison Teen ClinicCertificate of Waiver, Federally qualified health center15D2074856
- Walgreens #06733Certificate of Waiver, Pharmacy15D2229642
Related
Questions
What is the CLIA number for Northshore Health Center -Lake Station in Lake Station?
15D1096642, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northshore Health Center -Lake Station hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1096642 expire?
The CMS file lists February 22, 2027 as the certificate expiration date; the certificate took effect February 23, 2025.