CLIA lab
CLIA 15D2162407: Tyson Foods - Mexican Original Portland
Portland, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2162407 belongs to Tyson Foods - Mexican Original Portland in Portland, IN.
Certificate of Waiver, effective February 21, 2025, expires February 20, 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
- February 21, 2025
- Certificate expiration
- February 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 21, 2019
- Facility type
- Other
- 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
- 15D2162407
- Lab name
- Tyson Foods - Mexican Original Portland
- Address
- 1355 W Tyson Rd, Portland, IN 47371
- Phone
- (260) 726-1631
- Fax
- (260) 726-1632
Annual test volume the lab reported
- Waived tests
- 225
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Portland, IN
- Crown Pointe Communities, LLCCertificate of Waiver, Assisted living facility15D2136200
- Indiana University Health Jay, IncCertificate of Waiver, Physician office15D2251939
- Indiana University Health/Jay Family MedicineCertificate of Waiver, Hospital15D1081214
- Indiana University Health/Jay Family PracticeCertificate of Waiver, Hospital15D0989674
- Iu Health - Family First HealthcareCertificate of Waiver, Hospital15D1096043
- Iu Health Jay, IncCertificate of Accreditation, Hospital15D2143705
- Jay County Health DepartmentCertificate of Waiver, Other15D0674900
- Jay Randolph Developmental ServicesCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities15D0997488
- Meridian Health ServicesCertificate of Waiver, Federally qualified health center15D0668372
- Meridian Health Services CorpCertificate of Waiver, Federally qualified health center15D2122652
Related
Questions
What is the CLIA number for Tyson Foods - Mexican Original Portland in Portland?
15D2162407, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tyson Foods - Mexican Original Portland hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2162407 expire?
The CMS file lists February 20, 2027 as the certificate expiration date; the certificate took effect February 21, 2025.