CLIA lab

CLIA 15D0932876: Daviess Martin Medical Clinic Lab

Loogootee, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 15D0932876 belongs to Daviess Martin Medical Clinic Lab in Loogootee, IN.

Certificate of Waiver, effective August 29, 2025, expires August 28, 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 of Waiver
Certificate effective
August 29, 2025
Certificate expiration
August 28, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 29, 1997
Facility type
Physician office
Ownership (control type)
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
15D0932876
Lab name
Daviess Martin Medical Clinic Lab
Address
12546 E US Hwy 50, Loogootee, IN 47553
Phone
(812) 295-5095
Fax
(812) 257-7553

Annual test volume the lab reported

Waived tests
1,500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Loogootee, IN

Related

Questions

What is the CLIA number for Daviess Martin Medical Clinic Lab in Loogootee?

15D0932876, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Daviess Martin Medical Clinic Lab hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D0932876 expire?

The CMS file lists August 28, 2027 as the certificate expiration date; the certificate took effect August 29, 2025.

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