CLIA lab
CLIA 15D0886022: Indiana Reformatory
Pendleton, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0886022 belongs to Indiana Reformatory in Pendleton, IN.
Certificate of Waiver, effective May 11, 2026, expires May 10, 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 11, 2026
- Certificate expiration
- May 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 11, 1994
- Facility type
- Prison
- 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
- 15D0886022
- Lab name
- Indiana Reformatory
- Address
- 4490 W Reformatory Rd, Pendleton, IN 46064
- Phone
- (765) 778-2107
Annual test volume the lab reported
- Waived tests
- 40,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pendleton, IN
- Ascension Medical Group ST Vincent -Certificate for Provider-Performed Microscopy Procedures, Physician office15D0919785
- Ascension Medical Group ST Vincent-Certificate of Waiver, Physician office15D0964015
- Correctional Industrial FacilityCertificate of Waiver, Prison15D0873928
- Family Medicine Care PendletonCertificate of Waiver, Physician office15D1034017
- Pendleton Juvenile Correctional FacilityCertificate of Waiver, Prison15D0979699
- Riverview Hospital-D/B/A Rawlins House Health &Certificate of Waiver, Skilled nursing or nursing facility15D0669795
- ST Vincent Home Health AndersonCertificate of Waiver, Home health agency15D2030302
Related
Questions
What is the CLIA number for Indiana Reformatory in Pendleton?
15D0886022, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Indiana Reformatory hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0886022 expire?
The CMS file lists May 10, 2028 as the certificate expiration date; the certificate took effect May 11, 2026.