CLIA lab
CLIA 15D2240866: Premise Health of Indiana Medical, PC
Whiting, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2240866 belongs to Premise Health of Indiana Medical, PC in Whiting, IN.
Certificate of Waiver, effective October 22, 2025, expires October 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
- October 22, 2025
- Certificate expiration
- October 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 22, 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
- 15D2240866
- Lab name
- Premise Health of Indiana Medical, PC
- Address
- 2815 Indianapolis Blvd Mc 113, Whiting, IN 46394
- Phone
- (219) 473-3222
- Fax
- (219) 473-5488
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.
Other labs in Whiting, IN
- Benchik Medical Health CenterCertificate for Provider-Performed Microscopy Procedures, Physician office15D0947835
- Hammond-Whiting Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0723568
- Occu-Med PCCertificate of Waiver, Physician office15D2025326
- Whiting DialysisCertificate of Waiver, End stage renal disease dialysis facility15D2146218
- Whiting Medical CenterCertificate of Waiver, Physician office15D0889024
Related
Questions
What is the CLIA number for Premise Health of Indiana Medical, PC in Whiting?
15D2240866, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Indiana Medical, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2240866 expire?
The CMS file lists October 21, 2027 as the certificate expiration date; the certificate took effect October 22, 2025.