CLIA lab
CLIA 15D0361073: Good Samaritan Hospital Physician Services,
Montgomery, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0361073 belongs to Good Samaritan Hospital Physician Services, in Montgomery, 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 26, 1994
- Facility type
- Physician office
- Ownership (control type)
- Other
- 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
- 15D0361073
- Lab name
- Good Samaritan Hospital Physician Services,
- Additional name
- Inc
- Address
- 8976 E 800 N, Montgomery, IN 47558
- Phone
- (812) 687-7263
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Montgomery, IN
Related
Questions
What is the CLIA number for Good Samaritan Hospital Physician Services, in Montgomery?
15D0361073, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Good Samaritan Hospital Physician Services, hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0361073 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.