CLIA lab
CLIA 15D0931021: Rush Mem Hospital DBA Flatrock River Lodge
Rushville, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0931021 belongs to Rush Mem Hospital DBA Flatrock River Lodge in Rushville, IN.
Certificate of Waiver, effective July 21, 2025, expires July 20, 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
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
- July 21, 2025
- Certificate expiration
- July 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 21, 1997
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, other
- 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
- 15D0931021
- Lab name
- Rush Mem Hospital DBA Flatrock River Lodge
- Address
- 904 E 11th St, Rushville, IN 46173
- Phone
- (765) 932-2974
- Fax
- (765) 933-1333
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Flatrock River LodgeCMS Care Compare ratings for the facility at the same street address
Other labs in Rushville, IN
- Fenimore Eye CareCertificate of Waiver, Physician office15D2278610
- Kroger Pharmacy J-096Certificate of Waiver, Pharmacy15D0972400
- Meridian Health Services CorpCertificate of Waiver, Federally qualified health center15D0665631
- Midwest Eye Consultants #47Certificate of Waiver, Physician office15D2263314
- Qcc/Rush County JailCertificate of Waiver, Other15D2203390
- RMH Healthcare SolutionsCertificate of Waiver, Community clinic15D2299551
- Rush County Health DepartmentCertificate of Waiver, Other15D0687311
- Rush Memorial HospitalCertificate of Accreditation, Hospital15D0034427
- Rushville Chiropractic & Sports Med ClinicCertificate of Waiver, Physician office15D2083285
- Waters of Rushville Skilled Nursing Facility, theCertificate of Waiver, Skilled nursing or nursing facility15D0670897
Related
Questions
What is the CLIA number for Rush Mem Hospital DBA Flatrock River Lodge in Rushville?
15D0931021, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Rush Mem Hospital DBA Flatrock River Lodge hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0931021 expire?
The CMS file lists July 20, 2027 as the certificate expiration date; the certificate took effect July 21, 2025.