CLIA lab
CLIA 15D2167674: Lutheran Medical Group, LLC
Warsaw, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2167674 belongs to Lutheran Medical Group, LLC in Warsaw, IN.
Certificate of Waiver, effective June 12, 2025, expires June 11, 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
- June 12, 2025
- Certificate expiration
- June 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 12, 2019
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2167674
- Lab name
- Lutheran Medical Group, LLC
- Additional name
- DBA Lutheran Health Physicians
- Address
- 1205 Provident Drive, Suite A, Warsaw, IN 46580
- Phone
- (574) 269-8300
- Fax
- (260) 479-2950
Annual test volume the lab reported
- Waived tests
- 60
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Warsaw, IN
- Allergy and Asthma Center-Warsaw theCertificate of Waiver, Physician office15D1067746
- American Oncology Partners, PA DBA FT WayneCertificate of Accreditation, Physician office15D2319619
- Bowen Health Clinic - WarsawCertificate of Waiver, Federally qualified health center15D2297141
- Cardinal Services, Inc of IndianaCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities15D1002738
- Cedar Creek of WarsawCertificate of Waiver, Assisted living facility15D1043330
- Cleanslate CentersCertificate of Waiver, Physician office15D2161423
- Early Start Prenatal ClinicCertificate of Waiver, Community clinic15D0939170
- Flourish MedicalCertificate of Waiver, Physician office15D2346583
- Forefront Dermatology, S CCertificate for Provider-Performed Microscopy Procedures, Physician office15D2149106
- Fresenius Medical Care WarsawCertificate of Waiver, End stage renal disease dialysis facility15D0868460
Related
Questions
What is the CLIA number for Lutheran Medical Group, LLC in Warsaw?
15D2167674, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lutheran Medical Group, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2167674 expire?
The CMS file lists June 11, 2027 as the certificate expiration date; the certificate took effect June 12, 2025.