CLIA lab
CLIA 15D2074856: Northshore Hlth Ctrs-Edison Teen Clinic
Lake Station, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2074856 belongs to Northshore Hlth Ctrs-Edison Teen Clinic in Lake Station, IN.
Certificate of Waiver, effective March 18, 2026, expires March 17, 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
- March 18, 2026
- Certificate expiration
- March 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 18, 2014
- Facility type
- Federally qualified health center
- Ownership (control type)
- Private
- 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
- 15D2074856
- Lab name
- Northshore Hlth Ctrs-Edison Teen Clinic
- Address
- 3304 Parkside Ave, Lake Station, IN 46405
- Phone
- (219) 763-8112
- Fax
- (219) 764-5380
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.
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Related
Questions
What is the CLIA number for Northshore Hlth Ctrs-Edison Teen Clinic in Lake Station?
15D2074856, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northshore Hlth Ctrs-Edison Teen Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2074856 expire?
The CMS file lists March 17, 2028 as the certificate expiration date; the certificate took effect March 18, 2026.