CLIA lab
CLIA 15D2041614: Premise Health of Indiana Medical, PC
Notre Dame, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2041614 belongs to Premise Health of Indiana Medical, PC in Notre Dame, IN.
Certificate of Waiver, effective May 25, 2026, expires May 24, 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
- May 25, 2026
- Certificate expiration
- May 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 25, 2012
- 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
- 15D2041614
- Lab name
- Premise Health of Indiana Medical, PC
- Address
- 100 Wellness Center, Notre Dame, IN 46556
- Phone
- (574) 634-9355
- Fax
- (574) 631-3377
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Notre Dame, IN
- Holy Cross Village at Notre DameCertificate of Waiver, Skilled nursing or nursing facility15D0977232
- Notre Dame Wellness Center PharmacyCertificate of Waiver, Pharmacy15D2140811
- Saint Mary's College Health & CounselingCertificate for Provider-Performed Microscopy Procedures, School or student health service15D0886045
- Sisters of the Holy Cross, IncCertificate of Waiver, Skilled nursing or nursing facility15D2208156
- University Health ServicesCertificate for Provider-Performed Microscopy Procedures, School or student health service15D0866776
- Walgreens #15598Certificate of Waiver, Pharmacy15D2177095
Related
Questions
What is the CLIA number for Premise Health of Indiana Medical, PC in Notre Dame?
15D2041614, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Indiana Medical, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2041614 expire?
The CMS file lists May 24, 2028 as the certificate expiration date; the certificate took effect May 25, 2026.