CLIA lab
CLIA 15D0940633: DC Jasper Family Medicine
Jasper, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0940633 belongs to DC Jasper Family Medicine in Jasper, IN.
Certificate for Provider-Performed Microscopy Procedures, effective March 13, 2026, expires March 12, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- March 13, 2026
- Certificate expiration
- March 12, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 12, 1998
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- 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
- 15D0940633
- Lab name
- DC Jasper Family Medicine
- Address
- 966 Bartley St, Jasper, IN 47546
- Phone
- (812) 996-7810
- Fax
- (812) 996-8465
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 100
- Total
- 1,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Careatc Kimball International Health CenterCertificate of Waiver, Other15D2167850
- Cathedral Heatlh Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0894839
- Commonwealth Pain & SpineCertificate of Waiver, Physician office15D2150415
- DBA Serenity Spring Senior Living at NorthwoodCertificate of Waiver, Skilled nursing or nursing facility15D0361051
- DC Family Medicine Dorbett StreetCertificate for Provider-Performed Microscopy Procedures, Physician office15D2350359
- DC Jasper PediatricsCertificate of Waiver, Physician office15D0361024
- DC Jasper Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office15D0361044
Related
Questions
What is the CLIA number for DC Jasper Family Medicine in Jasper?
15D0940633, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DC Jasper Family Medicine hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 15D0940633 expire?
The CMS file lists March 12, 2028 as the certificate expiration date; the certificate took effect March 13, 2026.