CLIA lab

CLIA 15D2120565: Park Place Health & Wellness

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

CLIA number 15D2120565 belongs to Park Place Health & Wellness in St John, IN.

Certificate of Waiver, effective October 19, 2024, expiration date October 18, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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 19, 2024
Certificate expiration
October 18, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
October 19, 2016
Facility type
Skilled nursing or nursing facility
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
15D2120565
Lab name
Park Place Health & Wellness
Address
10820 Park Place, St John, IN 46373
Phone
(219) 351-5212
Fax
(219) 351-5358

Annual test volume the lab reported

Waived tests
30,000

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 Park Place Health & Wellness in St John?

15D2120565, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Park Place Health & Wellness hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2120565 expire?

The CMS file lists October 18, 2026 as the certificate expiration date; the certificate took effect October 19, 2024.

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