CLIA lab
CLIA 15D2258652: PPG Pain Management
Ft Wayne, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2258652 belongs to PPG Pain Management in Ft Wayne, IN.
Certificate of Waiver, effective April 25, 2026, expires April 24, 2028.
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
- April 25, 2026
- Certificate expiration
- April 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 25, 2022
- Facility type
- Physician office
- Ownership (control type)
- Government, other
- 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
- 15D2258652
- Lab name
- PPG Pain Management
- Address
- 11143 Parkview Plaza Dr, Ste 320, Ft Wayne, IN 46845
- Phone
- (260) 266-0234
- Fax
- (260) 425-6049
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.
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- Fort Wayne Vascular Care, LLCCertificate of Waiver, Ambulatory surgery center15D2164630
- Fort Wayne on the Go Mobile Drug & AlcoholCertificate of Waiver, Mobile lab15D2319515
- Fresenius Medical Care Fort Wayne JeffersonCertificate of Waiver, End stage renal disease dialysis facility15D0647525
- Great Lakes Caring Hospice Nin, LLC DBA ElaraCertificate of Waiver, Hospice15D2330740
- Holy Family Birth CenterCertificate of Waiver, Other15D2168308
- Iuhmg Riley SpecialistsCertificate of Waiver, Physician office15D2141694
- Karim Moshref MD PCCertificate for Provider-Performed Microscopy Procedures, Physician office15D0975862
- Kroger Pharmacy #425Certificate of Waiver, Pharmacy15D2093590
Related
Questions
What is the CLIA number for PPG Pain Management in Ft Wayne?
15D2258652, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does PPG Pain Management hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2258652 expire?
The CMS file lists April 24, 2028 as the certificate expiration date; the certificate took effect April 25, 2026.