CLIA lab
CLIA 15D0962888: Iu Health Jay Rural Health Clinic D/B/A Blackford
Hartford City, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0962888 belongs to Iu Health Jay Rural Health Clinic D/B/A Blackford in Hartford City, IN.
Certificate of Waiver, effective January 1, 2025, expires December 31, 2026.
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
- January 1, 2025
- Certificate expiration
- December 31, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 15, 1999
- Facility type
- Rural health clinic
- 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
- 15D0962888
- Lab name
- Iu Health Jay Rural Health Clinic D/B/A Blackford
- Additional name
- Physicians
- Address
- 400 Pilgrim Blvd, Hartford City, IN 47348
- Phone
- (765) 348-5776
- Fax
- (765) 348-8335
Annual test volume the lab reported
- Waived tests
- 4,713
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Hartford City, IN
- 3M Hartford CityCertificate of Waiver, Industrial15D0887626
- Adams County Hospital D/B/A Envive ofCertificate of Waiver, Skilled nursing or nursing facility15D0360236
- Blackford County Health DepartmentCertificate of Waiver, Other15D0956423
- Crownpointe Comm LLCCertificate of Waiver, Assisted living facility15D2111043
- Eye Associates Group LLCCertificate of Waiver, Physician office15D1091608
- Fast Pace Medical Clinic PLLCCertificate of Waiver, Other practitioner15D2291522
- Iuhmg ImagingCertificate of Waiver, Physician office15D2289340
- Qcc/Blackford County JailCertificate of Waiver, Other15D2203033
- Waters of Hartford City Skilled Nursing, theCertificate of Waiver, Skilled nursing or nursing facility15D0360243
Related
Questions
What is the CLIA number for Iu Health Jay Rural Health Clinic D/B/A Blackford in Hartford City?
15D0962888, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Iu Health Jay Rural Health Clinic D/B/A Blackford hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0962888 expire?
The CMS file lists December 31, 2026 as the certificate expiration date; the certificate took effect January 1, 2025.