CLIA lab

CLIA 15D2030261: PSP - Loren Helmuth, General Surgery

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

CLIA number 15D2030261 belongs to PSP - Loren Helmuth, General Surgery in Lagrange, IN.

Certificate of Waiver, effective September 26, 2025, expires September 25, 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 26, 2025
Certificate expiration
September 25, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 26, 2011
Facility type
Physician office
Ownership (control type)
Other
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
15D2030261
Lab name
PSP - Loren Helmuth, General Surgery
Address
207 N Townline Rd, Ste 101, Lagrange, IN 46761
Phone
(206) 373-9728
Fax
(260) 458-5664

Annual test volume the lab reported

Waived tests
60

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 PSP - Loren Helmuth, General Surgery in Lagrange?

15D2030261, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does PSP - Loren Helmuth, General Surgery hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2030261 expire?

The CMS file lists September 25, 2027 as the certificate expiration date; the certificate took effect September 26, 2025.

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