CLIA lab

CLIA 15D0696169: Richard G Ingram MD Inc

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

CLIA number 15D0696169 belongs to Richard G Ingram MD Inc in Montpelier, 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
May 17, 1993
Facility type
Physician office
Ownership (control type)
Proprietary
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
15D0696169
Lab name
Richard G Ingram MD Inc
Address
121 E High St, Montpelier, IN 47359
Phone
(317) 728-2421

Annual test volume the lab reported

Waived tests
500

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

Other labs in Montpelier, IN

Related

Questions

What is the CLIA number for Richard G Ingram MD Inc in Montpelier?

15D0696169, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Richard G Ingram MD Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D0696169 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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