CLIA lab
CLIA 15D0701095: Witham Family Practice Thorntown
Thorntown, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0701095 belongs to Witham Family Practice Thorntown in Thorntown, IN.
Certificate for Provider-Performed Microscopy Procedures, effective January 16, 2025, expires January 15, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- January 16, 2025
- Certificate expiration
- January 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 3, 1993
- Facility type
- Physician office
- 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
- 15D0701095
- Lab name
- Witham Family Practice Thorntown
- Address
- 151 E Bow St, Thorntown, IN 46071
- Phone
- (765) 485-8852
- Fax
- (765) 485-8100
Annual test volume the lab reported
- Waived tests
- 500
- Provider-performed microscopy tests
- 50
- Total
- 550
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 Witham Family Practice Thorntown in Thorntown?
15D0701095, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Witham Family Practice Thorntown hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 15D0701095 expire?
The CMS file lists January 15, 2027 as the certificate expiration date; the certificate took effect January 16, 2025.