CLIA lab
CLIA 15D2090364: Proactive MD Valparaiso Health Center
Valparaiso, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2090364 belongs to Proactive MD Valparaiso Health Center in Valparaiso, IN.
Certificate of Waiver, effective January 22, 2025, expires January 21, 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
- January 22, 2025
- Certificate expiration
- January 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 22, 2015
- Facility type
- Other practitioner
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2090364
- Lab name
- Proactive MD Valparaiso Health Center
- Address
- 2801 Bertholet Blvd Ste 201, Valparaiso, IN 46383
- Phone
- (844) 458-2800
- Fax
- (833) 638-0146
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Valparaiso, IN
- Advanced Pain & Anesthesia Consultants, PCCertificate of Waiver, Physician office15D2332159
- Allergy Asthma Care, PCCertificate of Waiver, Physician office15D2096271
- Applegarth Dermatology PCCertificate of Compliance, Physician office15D0948583
- Arhc Chicago IvfCertificate of Waiver, Physician office15D1044050
- Artemis for Women, LLCCertificate of Waiver, Physician office15D2123744
- Associated PediatriciansCertificate of Waiver, Physician office15D0355996
- Avalon Springs Health CampusCertificate of Waiver, Skilled nursing or nursing facility15D2040008
- Aviva ValparaisoCertificate of Waiver, Assisted living facility15D1104159
- BettereyesCertificate of Waiver, Physician office15D2326493
- Brickyard Healthcare - Valparaiso Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0670534
Related
Questions
What is the CLIA number for Proactive MD Valparaiso Health Center in Valparaiso?
15D2090364, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Proactive MD Valparaiso Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2090364 expire?
The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.