CLIA lab
CLIA 15D2309128: Beacon Medical Group Infectious Disease
South Bend, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2309128 belongs to Beacon Medical Group Infectious Disease in South Bend, IN.
Certificate of Waiver, effective August 9, 2026, expires August 8, 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
- August 9, 2026
- Certificate expiration
- August 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 9, 2024
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 15D2309128
- Lab name
- Beacon Medical Group Infectious Disease
- Address
- 621 Memorial Drive, Ste 624, South Bend, IN 46601
- Phone
- (574) 647-8177
- Fax
- (574) 647-8536
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Beacon Medical Group Infectious Disease in South Bend?
15D2309128, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Beacon Medical Group Infectious Disease hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2309128 expire?
The CMS file lists August 8, 2028 as the certificate expiration date; the certificate took effect August 9, 2026.