CLIA lab
CLIA 15D2210719: Oak Street Health-Lasalle Park
South Bend, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2210719 belongs to Oak Street Health-Lasalle Park in South Bend, IN.
Certificate of Waiver, effective January 22, 2025, expires January 21, 2027.
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
- January 22, 2025
- Certificate expiration
- January 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 22, 2021
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 75
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2210719
- Lab name
- Oak Street Health-Lasalle Park
- Address
- 4401 W Western Ave, Suite C, South Bend, IN 46619
- Phone
- (574) 216-1148
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in South Bend, IN
- A Rosie PlaceCertificate of Waiver, Other15D2008816
- Aberdare Health and Pain Medicine LLCCertificate of Waiver, Physician office15D2345387
- Advanced Cardiovascular Specialists-SbCertificate of Waiver, Physician office15D2091294
- Advanced Ophthalmology of MichianaCertificate of Waiver, Physician office15D2089271
- Aids Ministries/Aids AssistCertificate of Waiver, Other15D2143155
- Allied Physicians Surgery Center LLCCertificate of Waiver, Ambulatory surgery center15D0968577
- Altruistic Labs, LLCCertificate of Waiver, Home health agency15D2296034
- Always Best Care Michiana - Home HealthCertificate of Waiver, Home health agency15D2346443
- Ascent Hospice, LLCCertificate of Waiver, Hospice15D2253100
- BMG E Blair Warner, Street Medicine South BendCertificate of Waiver, Community clinic15D2300247
Related
Questions
What is the CLIA number for Oak Street Health-Lasalle Park in South Bend?
15D2210719, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Oak Street Health-Lasalle Park hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2210719 expire?
The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.