CLIA lab
CLIA 15D2050791: Mishawaka Dialysis
Mishawaka, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2050791 belongs to Mishawaka Dialysis in Mishawaka, IN.
Certificate of Waiver, effective December 6, 2024, expires December 5, 2026.
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
- December 6, 2024
- Certificate expiration
- December 5, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 6, 2012
- Facility type
- End stage renal disease dialysis facility
- 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
- 15D2050791
- Lab name
- Mishawaka Dialysis
- Address
- 1420 Trinity Pl, Mishawaka, IN 46545
- Phone
- (574) 243-3764
- Fax
- (574) 243-3583
Annual test volume the lab reported
- Waived tests
- 6,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Mishawaka DialysisCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Mishawaka Dialysis in Mishawaka?
15D2050791, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mishawaka Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2050791 expire?
The CMS file lists December 5, 2026 as the certificate expiration date; the certificate took effect December 6, 2024.