CLIA lab
CLIA 15D2088634: Grand Emerald Place
South Bend, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2088634 belongs to Grand Emerald Place in South Bend, IN.
Certificate of Waiver, effective December 16, 2024, expires December 15, 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 16, 2024
- Certificate expiration
- December 15, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 16, 2014
- Facility type
- Assisted living 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
- 15D2088634
- Lab name
- Grand Emerald Place
- Address
- 4010 S Ironwood Drive, South Bend, IN 46614
- Phone
- (574) 216-4510
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advanced Ophthalmology of MichianaCertificate of Waiver, Physician office15D2089271
- Aids Ministries/Aids AssistCertificate of Waiver, Other15D2143155
- Allied Physicians Surgery Center LLCCertificate of Waiver, Ambulatory surgery center15D0968577
- Altruistic Labs, LLCCertificate of Waiver, Home health agency15D2296034
- Always Best Care Michiana - Home HealthCertificate of Waiver, Home health agency15D2346443
- Ascent Hospice, LLCCertificate of Waiver, Hospice15D2253100
- BMG E Blair Warner, Street Medicine South BendCertificate of Waiver, Community clinic15D2300247
Related
Questions
What is the CLIA number for Grand Emerald Place in South Bend?
15D2088634, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Emerald Place hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2088634 expire?
The CMS file lists December 15, 2026 as the certificate expiration date; the certificate took effect December 16, 2024.