CLIA lab
CLIA 15D2204487: Premier Pediatrics of Indiana, LLC
Granger, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2204487 belongs to Premier Pediatrics of Indiana, LLC in Granger, IN.
Certificate of Waiver, effective December 9, 2024, expires December 8, 2026.
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
- December 9, 2024
- Certificate expiration
- December 8, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 9, 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
- 15D2204487
- Lab name
- Premier Pediatrics of Indiana, LLC
- Address
- 229 Florence Ave, Ste 233, Granger, IN 46530
- Phone
- (574) 855-4575
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aunova Home Care, LLCCertificate of Waiver, Home health agency15D2100924
- Beacon Bone and Joint MishawakaCertificate of Waiver, Physician office15D2116025
- Beacon Granger HospitalCertificate of Accreditation, Hospital15D2166315
- Beacon Med GRP Bittersweet CommonsCertificate for Provider-Performed Microscopy Procedures, Physician office15D1101762
- Beacon Medical Group Main StreetCertificate of Waiver, Other15D2004247
- Belltower Health & Rehab CTRCertificate of Waiver, Skilled nursing or nursing facility15D2115323
- Brookdale GrangerCertificate of Waiver, Assisted living facility15D0980527
- Granger Community MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office15D0356731
- Granger Surgery CenterCertificate of Waiver, Ambulatory surgery center15D2264013
Related
Questions
What is the CLIA number for Premier Pediatrics of Indiana, LLC in Granger?
15D2204487, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premier Pediatrics of Indiana, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2204487 expire?
The CMS file lists December 8, 2026 as the certificate expiration date; the certificate took effect December 9, 2024.