CLIA lab
CLIA 15D0360812: Greene County General Hospital DBA My
Bloomfield, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0360812 belongs to Greene County General Hospital DBA My in Bloomfield, 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
- Rural health clinic
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D0360812
- Lab name
- Greene County General Hospital DBA My
- Additional name
- Bloomfield Clinic
- Address
- 55 N Judge Street, Bloomfield, IN 47424
- Phone
- (812) 847-5212
- Fax
- (812) 847-6166
Annual test volume the lab reported
- Waived tests
- 2,180
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Bloomfield, IN
- Greene County Health DepartmentCertificate of Waiver, Public health laboratory15D2255888
- Newday CenterCertificate of Waiver, Other practitioner15D2178043
- Qcc/Greene County JailCertificate of Waiver, Other15D2203286
- Resourceful Health Services, LLCCertificate of Waiver, Mobile lab15D2327491
- See Purpose, LLCCertificate of Waiver, Other15D2218879
- Westgate Medical, LLCCertificate of Waiver, Physician office15D2094051
Related
Questions
What is the CLIA number for Greene County General Hospital DBA My in Bloomfield?
15D0360812, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Greene County General Hospital DBA My hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0360812 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.