CLIA lab
CLIA 15D2241062: Premise Health of Indiana Medical, PC
Winamac, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2241062 belongs to Premise Health of Indiana Medical, PC in Winamac, IN.
Certificate of Waiver, effective October 25, 2025, expires October 24, 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 25, 2025
- Certificate expiration
- October 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 25, 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
- 15D2241062
- Lab name
- Premise Health of Indiana Medical, PC
- Address
- 144 South 100 West, Winamac, IN 46996
- Phone
- (574) 355-3160
- Fax
- (855) 215-6425
Annual test volume the lab reported
- Waived tests
- 750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Winamac, IN
- Proactive MD - Eastern PulaskiCertificate of Waiver, Physician office15D2182076
- Pulaski Co Emergency Med ServicesCertificate of Waiver, Ambulance15D2099334
- Pulaski Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0891934
- Pulaski Memorial HospitalCertificate of Accreditation, Hospital15D0359044
- Pulaski Memorial HospitalCertificate of Waiver, Physician office15D1016288
- Pulaski Memorial Hospital D/B/A Hickory Creek atCertificate of Waiver, Skilled nursing or nursing facility15D0359050
- Qcc/Pulaski County JailCertificate of Waiver, Other15D2203356
- Safeguard Joy Home Health LLCCertificate of Waiver, Home health agency15D2321982
Related
Questions
What is the CLIA number for Premise Health of Indiana Medical, PC in Winamac?
15D2241062, 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 15D2241062 expire?
The CMS file lists October 24, 2027 as the certificate expiration date; the certificate took effect October 25, 2025.