CLIA lab
CLIA 15D0721104: ST Vincent North Clinic
Williamsport, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0721104 belongs to ST Vincent North Clinic in Williamsport, IN.
Certificate of Waiver, effective May 1, 2026, expires April 30, 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
- May 1, 2026
- Certificate expiration
- April 30, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 6, 1993
- Facility type
- Community clinic
- Ownership (control type)
- Private
- 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
- 15D0721104
- Lab name
- ST Vincent North Clinic
- Address
- 1731 Ringer Ln, Williamsport, IN 47993
- Phone
- (765) 762-4170
- Fax
- (765) 762-6019
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Williamsport, IN
- Ascension ST Vincent WilliamsportCertificate of Accreditation, Hospital15D0035759
- Health & Hospital Corp of Marion CoCertificate of Waiver, Skilled nursing or nursing facility15D0362573
- Qcc/Warren County JailCertificate of Waiver, Other15D2203536
- ST Vincent Williamsport HospitalCertificate of Waiver, Hospital15D2079492
Related
Questions
What is the CLIA number for ST Vincent North Clinic in Williamsport?
15D0721104, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does ST Vincent North Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0721104 expire?
The CMS file lists April 30, 2028 as the certificate expiration date; the certificate took effect May 1, 2026.