CLIA lab
CLIA 15D2182076: Proactive MD - Eastern Pulaski
Winamac, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2182076 belongs to Proactive MD - Eastern Pulaski in Winamac, IN.
Certificate of Waiver, effective April 15, 2026, expires April 14, 2028.
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
- April 15, 2026
- Certificate expiration
- April 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 15, 2020
- 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
- 15D2182076
- Lab name
- Proactive MD - Eastern Pulaski
- Address
- 715 School Drive, Winamac, IN 46996
- Phone
- (574) 297-5527
- Fax
- (574) 808-4680
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Winamac, IN
- Premise Health of Indiana Medical, PCCertificate of Waiver, Physician office15D2241062
- Pulaski Co Emergency Med ServicesCertificate of Waiver, Ambulance15D2099334
- Pulaski Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0891934
- Pulaski Memorial HospitalCertificate of Accreditation, Hospital15D0359044
- Pulaski Memorial HospitalCertificate of Waiver, Physician office15D1016288
- Pulaski Memorial Hospital D/B/A Hickory Creek atCertificate of Waiver, Skilled nursing or nursing facility15D0359050
- Qcc/Pulaski County JailCertificate of Waiver, Other15D2203356
- Safeguard Joy Home Health LLCCertificate of Waiver, Home health agency15D2321982
Related
Questions
What is the CLIA number for Proactive MD - Eastern Pulaski in Winamac?
15D2182076, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Proactive MD - Eastern Pulaski hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2182076 expire?
The CMS file lists April 14, 2028 as the certificate expiration date; the certificate took effect April 15, 2026.