CLIA lab

CLIA 15D2001684: ST Mary Medical Center Surgery Center-Lake

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

CLIA number 15D2001684 belongs to ST Mary Medical Center Surgery Center-Lake in Hobart, IN.

Certificate of Waiver, effective December 29, 2025, expires December 28, 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
December 29, 2025
Certificate expiration
December 28, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 29, 2009
Facility type
Ambulatory surgery center
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
6

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
15D2001684
Lab name
ST Mary Medical Center Surgery Center-Lake
Additional name
Park
Address
7921 Grand Blvd, Hobart, IN 46342
Phone
(219) 942-9600

Annual test volume the lab reported

Waived tests
1,400

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

Affiliated CLIA numbers

Other labs in Hobart, IN

Related

Questions

What is the CLIA number for ST Mary Medical Center Surgery Center-Lake in Hobart?

15D2001684, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Mary Medical Center Surgery Center-Lake hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2001684 expire?

The CMS file lists December 28, 2027 as the certificate expiration date; the certificate took effect December 29, 2025.

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