CLIA lab
CLIA 15D0360193: DBA Hickory Creek at Connersville Henry Co
Connersville, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0360193 belongs to DBA Hickory Creek at Connersville Henry Co in Connersville, IN.
Certificate of Waiver, effective September 1, 2026, expires August 31, 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
- September 1, 2026
- Certificate expiration
- August 31, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 1, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, county
- 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
- 15D0360193
- Lab name
- DBA Hickory Creek at Connersville Henry Co
- Additional name
- Memorial Hospital
- Address
- 2600 N Grand Ave, Connersville, IN 47331
- Phone
- (765) 825-9771
- Fax
- (765) 827-3921
Annual test volume the lab reported
- Waived tests
- 8,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Hickory Creek at ConnersvilleCMS Care Compare ratings for the facility at the same street address
Other labs in Connersville, IN
- Best Home Care ServicesCertificate of Waiver, Home health agency15D0993835
- Caroleton ManorCertificate of Waiver, Skilled nursing or nursing facility15D0695713
- Centerstone Health Services, IncCertificate of Waiver, Federally qualified health center15D2168186
- Connection CafeCertificate of Waiver, Other15D2272233
- Crossroads Healing CenterCertificate of Waiver, Ancillary test site15D2176654
- FMC ConnersvilleCertificate of Waiver, End stage renal disease dialysis facility15D1012642
- Fayette County Medical CenterCertificate of Waiver, Federally qualified health center15D2265086
- Grogan Family Practice Centerstone Health ServicesCertificate of Waiver, Federally qualified health center15D2194365
- Groups Recover TogetherCertificate of Waiver, Community clinic15D2141463
- Henry County Memorial Hospital DBA HeritageCertificate of Waiver, Skilled nursing or nursing facility15D0360200
Related
Questions
What is the CLIA number for DBA Hickory Creek at Connersville Henry Co in Connersville?
15D0360193, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DBA Hickory Creek at Connersville Henry Co hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0360193 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.