CLIA lab
CLIA 15D2275997: Kosciusko Medical Group
Plymouth, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2275997 belongs to Kosciusko Medical Group in Plymouth, IN.
Certificate of Waiver, effective February 1, 2025, expires January 31, 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
- February 1, 2025
- Certificate expiration
- January 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 1, 2023
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2275997
- Lab name
- Kosciusko Medical Group
- Address
- 1904 Lake Avenue, Plymouth, IN 46563
- Phone
- (574) 372-1473
- Fax
- (574) 372-7649
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Plymouth, IN
- Beacon Medical Group PlymouthCertificate of Waiver, Physician office15D2346588
- Bowen Health Clinic - PlymouthCertificate of Waiver, Federally qualified health center15D2297082
- Concierge Medicine of Marshall CountyCertificate of Waiver, Physician office15D2213127
- Diagnostic Medicine PCCertificate of Waiver, Physician office15D2268760
- Fresenius Medical Care Nephrology Marshall CountyCertificate of Waiver, End stage renal disease dialysis facility15D1067816
- Kroger Pharmacy 963Certificate of Waiver, Pharmacy15D1077179
- Lifeplex Medical, IncCertificate of Waiver, Physician office15D2297475
- Marian University's Ancilla CollegeCertificate of Waiver, School or student health service15D2218832
- Marshall County Health DepartmentCertificate of Waiver, Public health laboratory15D2126334
- Marshall County Wic ProgramCertificate of Waiver, Other15D0663338
Related
Questions
What is the CLIA number for Kosciusko Medical Group in Plymouth?
15D2275997, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kosciusko Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2275997 expire?
The CMS file lists January 31, 2027 as the certificate expiration date; the certificate took effect February 1, 2025.