CLIA lab
CLIA 15D0721857: Witham Memorial Hospital
Thorntown, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0721857 belongs to Witham Memorial Hospital in Thorntown, IN.
Certificate for Provider-Performed Microscopy Procedures, effective September 25, 2025, expires September 24, 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
- September 25, 2025
- Certificate expiration
- September 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 19, 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
- 15D0721857
- Lab name
- Witham Memorial Hospital
- Address
- 151 E Bow St, Thorntown, IN 46071
- Phone
- (765) 436-2400
- Fax
- (765) 485-7535
Annual test volume the lab reported
- Waived tests
- 140
- Provider-performed microscopy tests
- 25
- Total
- 165
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Thorntown, IN
Related
Questions
What is the CLIA number for Witham Memorial Hospital in Thorntown?
15D0721857, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Witham Memorial Hospital hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 15D0721857 expire?
The CMS file lists September 24, 2027 as the certificate expiration date; the certificate took effect September 25, 2025.