CLIA lab

CLIA 15D2323686: Goshen Physicians Family Medicine

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

CLIA number 15D2323686 belongs to Goshen Physicians Family Medicine in Wakarusa, IN.

Certificate of Waiver, effective May 12, 2025, expires May 11, 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
May 12, 2025
Certificate expiration
May 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 12, 2025
Facility type
Physician office
Ownership (control type)
Private
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
15D2323686
Lab name
Goshen Physicians Family Medicine
Address
121 E Waterford Street, Wakarusa, IN 46573
Phone
(574) 364-2952
Fax
(574) 364-2784

Annual test volume the lab reported

Waived tests
1,365

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

Affiliated CLIA numbers

Other labs in Wakarusa, IN

Related

Questions

What is the CLIA number for Goshen Physicians Family Medicine in Wakarusa?

15D2323686, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Goshen Physicians Family Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2323686 expire?

The CMS file lists May 11, 2027 as the certificate expiration date; the certificate took effect May 12, 2025.

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