CLIA lab
CLIA 15D1099816: Beacon Medical Group Pediatric Multi
South Bend, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1099816 belongs to Beacon Medical Group Pediatric Multi in South Bend, IN.
Certificate of Waiver, effective May 21, 2025, expires May 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 21, 2025
- Certificate expiration
- May 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 21, 2009
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 15D1099816
- Lab name
- Beacon Medical Group Pediatric Multi
- Additional name
- #name?
- Address
- 100 Navarre Pl Ste 5550, South Bend, IN 46601
- Phone
- (574) 647-2550
Annual test volume the lab reported
- Waived tests
- 550
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Beacon Medical Group Pediatric Multi in South Bend?
15D1099816, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Beacon Medical Group Pediatric Multi hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1099816 expire?
The CMS file lists May 20, 2027 as the certificate expiration date; the certificate took effect May 21, 2025.