CLIA lab
CLIA 15D2207537: Maple City Dental
Goshen, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2207537 belongs to Maple City Dental in Goshen, IN.
Certificate of Waiver, effective December 29, 2024, expires December 28, 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 29, 2024
- Certificate expiration
- December 28, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 29, 2020
- Facility type
- Federally qualified health center
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2207537
- Lab name
- Maple City Dental
- Address
- 814 N 3rd Street, Goshen, IN 46528
- Phone
- (574) 534-3300
Annual test volume the lab reported
- Waived tests
- 9,900
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Goshen, IN
- Advent GoshenCertificate of Waiver, Physician office15D2308350
- Bashor Home of the United Methodist Church IncCertificate of Waiver, Other15D2227095
- Beacon Goshen Outpatient Center-Beacon ImagingCertificate of Waiver, Independent15D2253566
- Beacon Medical Group - GoshenCertificate for Provider-Performed Microscopy Procedures, Physician office15D0955447
- Beacon Medical Group Pediatrics GoshenCertificate of Waiver, Physician office15D2019223
- Beacon Medical Group Specialists GoshenCertificate of Waiver, Physician office15D2246478
- Beacon Medical Group Urology GoshenCertificate of Waiver, Physician office15D2315648
- Beacon Medical Grp-GoshenCertificate for Provider-Performed Microscopy Procedures, Physician office15D0927647
- Beacon Occupational Health, LLCCertificate of Waiver, Industrial15D2009600
- Center for Healing & HopeCertificate for Provider-Performed Microscopy Procedures, Community clinic15D2164421
Related
Questions
What is the CLIA number for Maple City Dental in Goshen?
15D2207537, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Maple City Dental hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2207537 expire?
The CMS file lists December 28, 2026 as the certificate expiration date; the certificate took effect December 29, 2024.