CLIA lab
CLIA 15D2196604: Lake George Surgery Center
Fremont, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2196604 belongs to Lake George Surgery Center in Fremont, IN.
Certificate of Waiver, effective October 19, 2026, expires October 18, 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
- October 19, 2026
- Certificate expiration
- October 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 19, 2020
- Facility type
- Ambulatory surgery center
- 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
- 15D2196604
- Lab name
- Lake George Surgery Center
- Address
- 6245 N Old 27 Suite A10, Fremont, IN 46737
- Phone
- (517) 462-8283
Annual test volume the lab reported
- Waived tests
- 1,600
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 Lake George Surgery Center in Fremont?
15D2196604, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake George Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2196604 expire?
The CMS file lists October 18, 2028 as the certificate expiration date; the certificate took effect October 19, 2026.