CLIA lab

CLIA 15D0698642: Good Samaritan Hosp Phy SVC, Inc

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

CLIA number 15D0698642 belongs to Good Samaritan Hosp Phy SVC, Inc in Washington, IN.

Certificate of Waiver, effective February 28, 2026, expires February 28, 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
February 28, 2026
Certificate expiration
February 28, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 18, 1993
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
15D0698642
Lab name
Good Samaritan Hosp Phy SVC, Inc
Address
2005 State St Ste A, Washington, IN 47501
Phone
(812) 882-6770
Fax
(812) 882-8499

Annual test volume the lab reported

Waived tests
200

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

Other labs in Washington, IN

Related

Questions

What is the CLIA number for Good Samaritan Hosp Phy SVC, Inc in Washington?

15D0698642, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Good Samaritan Hosp Phy SVC, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D0698642 expire?

The CMS file lists February 28, 2028 as the certificate expiration date; the certificate took effect February 28, 2026.

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