CLIA lab
CLIA 15D0861511: South Gibson Medical Clinic
Fort Branch, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0861511 belongs to South Gibson Medical Clinic in Fort Branch, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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
- February 11, 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
- 15D0861511
- Lab name
- South Gibson Medical Clinic
- Address
- Hwy 41 & Coal Mine Rd, PO Box 185, Fort Branch, IN 47648
- Phone
- (812) 753-4181
Annual test volume the lab reported
- Waived tests
- 350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fort Branch, IN
- Ascension Medical Group ST Vincent - ObstetricsCertificate for Provider-Performed Microscopy Procedures, Physician office15D1067453
- Deaconess Clinic - Gibson FT BranchCertificate of Waiver, Physician office15D2062009
- Deaconess Clinic Inc/Ft BranchCertificate of Waiver, Physician office15D0923906
- Deaconess Clinic at Work FT BranchCertificate of Waiver, Physician office15D2161508
- Tulip Tree Family Health CareCertificate of Waiver, Federally qualified health center15D0965212
Related
Questions
What is the CLIA number for South Gibson Medical Clinic in Fort Branch?
15D0861511, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does South Gibson Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0861511 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.