CLIA lab
CLIA 15D0360348: Persimmon Ridge Rehab Centre
Portland, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0360348 belongs to Persimmon Ridge Rehab Centre in Portland, 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
- January 6, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, state
- 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
- 15D0360348
- Lab name
- Persimmon Ridge Rehab Centre
- Address
- 200 N Park St, Portland, IN 47371
- Phone
- (260) 726-9355
- Fax
- (260) 726-9444
Annual test volume the lab reported
- Waived tests
- 5,734
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Persimmon Ridge Rehabilitation CentreCMS Care Compare ratings for the facility at the same street address
Other labs in Portland, IN
- Crown Pointe Communities, LLCCertificate of Waiver, Assisted living facility15D2136200
- Indiana University Health Jay, IncCertificate of Waiver, Physician office15D2251939
- Indiana University Health/Jay Family MedicineCertificate of Waiver, Hospital15D1081214
- Indiana University Health/Jay Family PracticeCertificate of Waiver, Hospital15D0989674
- Iu Health - Family First HealthcareCertificate of Waiver, Hospital15D1096043
- Iu Health Jay, IncCertificate of Accreditation, Hospital15D2143705
- Jay County Health DepartmentCertificate of Waiver, Other15D0674900
- Jay Randolph Developmental ServicesCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities15D0997488
- Meridian Health ServicesCertificate of Waiver, Federally qualified health center15D0668372
- Meridian Health Services CorpCertificate of Waiver, Federally qualified health center15D2122652
Related
Questions
What is the CLIA number for Persimmon Ridge Rehab Centre in Portland?
15D0360348, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Persimmon Ridge Rehab Centre hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0360348 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.