CLIA lab

CLIA 15D2315648: Beacon Medical Group Urology Goshen

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

CLIA number 15D2315648 belongs to Beacon Medical Group Urology Goshen in Goshen, IN.

Certificate of Waiver, effective December 17, 2024, expires December 16, 2026.

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
December 17, 2024
Certificate expiration
December 16, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 17, 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
15D2315648
Lab name
Beacon Medical Group Urology Goshen
Address
1302 College Ave, Ste 2, Goshen, IN 46526
Phone
(574) 206-0380
Fax
(574) 206-0389

Annual test volume the lab reported

Waived tests
9,020

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 Urology Goshen in Goshen?

15D2315648, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Beacon Medical Group Urology Goshen hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2315648 expire?

The CMS file lists December 16, 2026 as the certificate expiration date; the certificate took effect December 17, 2024.

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