CLIA lab
CLIA 15D2228987: Brotherhood Mutual Clinic
Fort Wayne, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2228987 belongs to Brotherhood Mutual Clinic in Fort Wayne, IN.
Certificate of Waiver, effective July 6, 2025, expires July 5, 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
- July 6, 2025
- Certificate expiration
- July 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 6, 2021
- 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
- 15D2228987
- Lab name
- Brotherhood Mutual Clinic
- Address
- 309 Insurance Dr, Fort Wayne, IN 46825
- Phone
- (866) 434-3255
- Fax
- (833) 673-0254
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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Related
Questions
What is the CLIA number for Brotherhood Mutual Clinic in Fort Wayne?
15D2228987, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brotherhood Mutual Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2228987 expire?
The CMS file lists July 5, 2027 as the certificate expiration date; the certificate took effect July 6, 2025.