CLIA lab

CLIA 15D2269682: Local Md-Goshen

Goshen, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 15D2269682 belongs to Local Md-Goshen in Goshen, IN.

Certificate of Waiver, effective September 30, 2024, expiration date September 29, 2026.

The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.

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
September 30, 2024
Certificate expiration
September 29, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
September 30, 2022
Facility type
Other
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
15D2269682
Lab name
Local Md-Goshen
Address
924 W Pike Street, Goshen, IN 46526
Phone
(708) 922-0911
Fax
(708) 922-2996

Annual test volume the lab reported

Waived tests
7,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Goshen, IN

Related

Questions

What is the CLIA number for Local Md-Goshen in Goshen?

15D2269682, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Local Md-Goshen hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2269682 expire?

The CMS file lists September 29, 2026 as the certificate expiration date; the certificate took effect September 30, 2024.

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