CLIA lab

CLIA 15D0672448: Jefferson Co Health Department

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

CLIA number 15D0672448 belongs to Jefferson Co Health Department in Madison, IN.

Certificate of Waiver, effective March 3, 2025, expires March 2, 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
March 3, 2025
Certificate expiration
March 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Rural health clinic
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
15D0672448
Lab name
Jefferson Co Health Department
Address
715 Green Rd, Madison, IN 47250
Phone
(812) 273-1942
Fax
(812) 273-1955

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 Jefferson Co Health Department in Madison?

15D0672448, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jefferson Co Health Department hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D0672448 expire?

The CMS file lists March 2, 2027 as the certificate expiration date; the certificate took effect March 3, 2025.

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