CLIA lab
CLIA 15D2182131: Proactive MD - Plymouth
Plymouth, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2182131 belongs to Proactive MD - Plymouth in Plymouth, IN.
Certificate of Waiver, effective April 16, 2026, expires April 15, 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 16, 2026
- Certificate expiration
- April 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 16, 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
- 15D2182131
- Lab name
- Proactive MD - Plymouth
- Address
- 510 West Adams Suite GL30, Plymouth, IN 46563
- Phone
- (864) 501-0751
- 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 Plymouth, IN
- Beacon Medical Group PlymouthCertificate of Waiver, Physician office15D2346588
- Bowen Health Clinic - PlymouthCertificate of Waiver, Federally qualified health center15D2297082
- Concierge Medicine of Marshall CountyCertificate of Waiver, Physician office15D2213127
- Diagnostic Medicine PCCertificate of Waiver, Physician office15D2268760
- Fresenius Medical Care Nephrology Marshall CountyCertificate of Waiver, End stage renal disease dialysis facility15D1067816
- Kosciusko Medical GroupCertificate of Waiver, Physician office15D2275997
- Kroger Pharmacy 963Certificate of Waiver, Pharmacy15D1077179
- Lifeplex Medical, IncCertificate of Waiver, Physician office15D2297475
- Marian University's Ancilla CollegeCertificate of Waiver, School or student health service15D2218832
- Marshall County Health DepartmentCertificate of Waiver, Public health laboratory15D2126334
Related
Questions
What is the CLIA number for Proactive MD - Plymouth in Plymouth?
15D2182131, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Proactive MD - Plymouth hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2182131 expire?
The CMS file lists April 15, 2028 as the certificate expiration date; the certificate took effect April 16, 2026.