CLIA lab
CLIA 15D0356479: Saint Joseph Medical Group
Bourbon, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0356479 belongs to Saint Joseph Medical Group in Bourbon, IN.
Certificate of Waiver, effective July 28, 2026, expires July 27, 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
- July 28, 2026
- Certificate expiration
- July 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 15D0356479
- Lab name
- Saint Joseph Medical Group
- Address
- 114 N Washington St, Bourbon, IN 46504
- Phone
- (574) 335-7850
- Fax
- (574) 335-0755
Annual test volume the lab reported
- Waived tests
- 1,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Saint Joseph Medical Group in Bourbon?
15D0356479, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Saint Joseph Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0356479 expire?
The CMS file lists July 27, 2028 as the certificate expiration date; the certificate took effect July 28, 2026.