CLIA lab
CLIA 15D0933906: Shelburn Medical Clinic
Shelburn, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0933906 belongs to Shelburn Medical Clinic in Shelburn, IN.
Certificate of Waiver, effective September 24, 2025, expires September 23, 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
- September 24, 2025
- Certificate expiration
- September 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 24, 1997
- 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
- 15D0933906
- Lab name
- Shelburn Medical Clinic
- Address
- 557 W Broadway, Shelburn, IN 47879
- Phone
- (812) 397-2440
- Fax
- (812) 478-3416
Related
Questions
What is the CLIA number for Shelburn Medical Clinic in Shelburn?
15D0933906, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Shelburn Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0933906 expire?
The CMS file lists September 23, 2027 as the certificate expiration date; the certificate took effect September 24, 2025.