CLIA lab

CLIA 15D2029164: Indiana Sports & Medical Science Institute, PC

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

CLIA number 15D2029164 belongs to Indiana Sports & Medical Science Institute, PC in Crown Point, IN.

Certificate of Waiver, effective September 1, 2025, expires August 31, 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
September 1, 2025
Certificate expiration
August 31, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 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
15D2029164
Lab name
Indiana Sports & Medical Science Institute, PC
Address
11275 Delaware Parkway, Crown Point, IN 46307
Phone
(219) 779-8735
Fax
(877) 715-2312

Annual test volume the lab reported

Waived tests
650

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 Indiana Sports & Medical Science Institute, PC in Crown Point?

15D2029164, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Indiana Sports & Medical Science Institute, PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2029164 expire?

The CMS file lists August 31, 2027 as the certificate expiration date; the certificate took effect September 1, 2025.

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