CLIA lab

CLIA 15D0361322: Deaconess Clinic Gibson Hospital Suite 2203 A -

Princeton, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 15D0361322 belongs to Deaconess Clinic Gibson Hospital Suite 2203 A - in Princeton, IN.

Certificate of Waiver, effective December 1, 2025, expires November 30, 2027.

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
December 1, 2025
Certificate expiration
November 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Physician office
Ownership (control type)
Other
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
15D0361322
Lab name
Deaconess Clinic Gibson Hospital Suite 2203 A -
Additional name
Brink
Address
1808 Sherman Suite 2203, Princeton, IN 47670
Phone
(812) 385-9420
Fax
(812) 386-1097

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Deaconess Clinic Gibson Hospital Suite 2203 A - in Princeton?

15D0361322, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Deaconess Clinic Gibson Hospital Suite 2203 A - hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D0361322 expire?

The CMS file lists November 30, 2027 as the certificate expiration date; the certificate took effect December 1, 2025.

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