CLIA lab
CLIA 15D2021147: DR Mary Tilak PC
Crown Point, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2021147 belongs to DR Mary Tilak PC in Crown Point, IN.
Certificate of Waiver, effective March 7, 2025, expires March 6, 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
- March 7, 2025
- Certificate expiration
- March 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 7, 2011
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 15D2021147
- Lab name
- DR Mary Tilak PC
- Address
- 6625 W Lincoln Hwy, Crown Point, IN 46307
- Phone
- (219) 922-1100
- Fax
- (219) 922-1108
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Crown Point, IN
- 219 Health Network, IncCertificate of Waiver, Physician office15D1016270
- Aceso Visiting Physicians and Geriatric CareCertificate of Waiver, Physician office15D2111626
- Adam Benjamin JR VA Outpatient ClinicCertificate of Accreditation, Community clinic15D0988053
- Advanced Pain & Anesthesia ConsultantsCertificate of Waiver, Physician office15D1090319
- Allergy Asthma Care PCCertificate of Waiver, Physician office15D1091777
- Anchor Home Health CareCertificate of Waiver, Home health agency15D0726756
- Apac Surgery CenterCertificate of Waiver, Ambulatory surgery center15D0979863
- Bickford of Crown PointCertificate of Waiver, Assisted living facility15D2066056
- CBC LLCCertificate of Waiver, Ambulatory surgery center15D1081245
- Caleel Family MedicineCertificate of Waiver, Physician office15D2284507
Related
Questions
What is the CLIA number for DR Mary Tilak PC in Crown Point?
15D2021147, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DR Mary Tilak PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2021147 expire?
The CMS file lists March 6, 2027 as the certificate expiration date; the certificate took effect March 7, 2025.