CLIA lab

CLIA 15D2069747: Diabetes Ed/Cardiopulm Rehab, Goshen Hosp

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

CLIA number 15D2069747 belongs to Diabetes Ed/Cardiopulm Rehab, Goshen Hosp in Goshen, IN.

Certificate of Waiver, effective December 3, 2025, expires December 2, 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
December 3, 2025
Certificate expiration
December 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 3, 2013
Facility type
Other
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
15D2069747
Lab name
Diabetes Ed/Cardiopulm Rehab, Goshen Hosp
Address
1855 S Main St - 2nd Flr, Goshen, IN 46526
Phone
(574) 364-2621
Fax
(574) 364-2770

Annual test volume the lab reported

Waived tests
1,500

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 Diabetes Ed/Cardiopulm Rehab, Goshen Hosp in Goshen?

15D2069747, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Diabetes Ed/Cardiopulm Rehab, Goshen Hosp hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2069747 expire?

The CMS file lists December 2, 2027 as the certificate expiration date; the certificate took effect December 3, 2025.

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