CLIA lab
CLIA 15D2104206: Beacon Occupational Health, LLC
Mishawaka, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2104206 belongs to Beacon Occupational Health, LLC in Mishawaka, IN.
Certificate of Waiver, effective October 30, 2025, expires October 29, 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
- October 30, 2025
- Certificate expiration
- October 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 30, 2015
- Facility type
- Physician office
- 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
- 15D2104206
- Lab name
- Beacon Occupational Health, LLC
- Address
- 4630 Vistula Rd, Mishawaka, IN 46544
- Phone
- (574) 389-1231
- Fax
- (574) 389-1232
Annual test volume the lab reported
- Waived tests
- 4,275
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 Beacon Occupational Health, LLC in Mishawaka?
15D2104206, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Beacon Occupational Health, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2104206 expire?
The CMS file lists October 29, 2027 as the certificate expiration date; the certificate took effect October 30, 2025.