CLIA lab
CLIA 15D2036662: Elkhart Co Wic Program
Elkhart, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2036662 belongs to Elkhart Co Wic Program in Elkhart, IN.
Certificate of Waiver, effective February 10, 2026, expires February 9, 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
- February 10, 2026
- Certificate expiration
- February 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 10, 2012
- Facility type
- Other
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2036662
- Lab name
- Elkhart Co Wic Program
- Address
- 1400 Hudson St, Elkhart, IN 46516
- Phone
- (574) 522-0104
- Fax
- (574) 522-1902
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Elkhart, IN
- ASC Surgical Ventures, LLC DBA Osmc OutpatientCertificate of Waiver, Ambulatory surgery center15D0925918
- American Oncology Partners, PA DBA ElkhartCertificate of Waiver, Physician office15D2344487
- BD Trustees of Flavius J Witham Mem HospCertificate of Waiver, Skilled nursing or nursing facility15D0980526
- BMG Pediatrics Bristol StreetCertificate of Compliance, Physician office15D0356523
- Beacon Med GRP Elkhart EastCertificate for Provider-Performed Microscopy Procedures, Physician office15D0714505
- Beacon Medical Group ENT and Audiology ElkhartCertificate of Waiver, Physician office15D2057229
- Beacon Medical Group Obgyn River OaksCertificate of Waiver, Physician office15D2274982
- Beacon Medical Group Obgyn River Oaks Lawn AvenueCertificate of Waiver, Physician office15D2274998
- Beacon Medical Group Urology ElkhartCertificate of Waiver, Physician office15D2315649
- Beacon Occupational Health, LLCCertificate of Waiver, Physician office15D1005437
Related
Questions
What is the CLIA number for Elkhart Co Wic Program in Elkhart?
15D2036662, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Elkhart Co Wic Program hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2036662 expire?
The CMS file lists February 9, 2028 as the certificate expiration date; the certificate took effect February 10, 2026.