CLIA lab

CLIA 15D2017054: DBA Fam Med CTR Northwood

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

CLIA number 15D2017054 belongs to DBA Fam Med CTR Northwood in Marion, IN.

Certificate of Waiver, effective April 1, 2026, expires March 31, 2028.

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
April 1, 2026
Certificate expiration
March 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
December 2, 2010
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
15D2017054
Lab name
DBA Fam Med CTR Northwood
Additional name
Marion General Hospital
Address
1399 N Baldwin Ave, Marion, IN 46952
Phone
(765) 660-7550
Fax
(765) 662-4467

Annual test volume the lab reported

Waived tests
1,800

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 DBA Fam Med CTR Northwood in Marion?

15D2017054, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does DBA Fam Med CTR Northwood hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2017054 expire?

The CMS file lists March 31, 2028 as the certificate expiration date; the certificate took effect April 1, 2026.

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