CLIA lab

CLIA 15D2159477: Crownpoint Pharmacy RX LLC

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

CLIA number 15D2159477 belongs to Crownpoint Pharmacy RX LLC in Crown Point, IN.

Certificate of Waiver, effective December 19, 2024, expires December 18, 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 19, 2024
Certificate expiration
December 18, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 19, 2018
Facility type
Pharmacy
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
15D2159477
Lab name
Crownpoint Pharmacy RX LLC
Address
9150 E 109th Street Suite B1, Crown Point, IN 46307
Phone
(219) 488-1461
Fax
(219) 488-1462

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 Crownpoint Pharmacy RX LLC in Crown Point?

15D2159477, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Crownpoint Pharmacy RX LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2159477 expire?

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

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