CLIA lab

CLIA 15D0964015: Ascension Medical Group ST Vincent-

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

CLIA number 15D0964015 belongs to Ascension Medical Group ST Vincent- in Pendleton, IN.

Certificate of Waiver, effective August 12, 2025, expires August 11, 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 12, 2025
Certificate expiration
August 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 18, 1999
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
15D0964015
Lab name
Ascension Medical Group ST Vincent-
Additional name
Pendleton Primary Care
Address
75 Village Dr, Pendleton, IN 46064
Phone
(765) 778-0913
Fax
(765) 778-1374

Annual test volume the lab reported

Waived tests
100

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

Other labs in Pendleton, IN

Related

Questions

What is the CLIA number for Ascension Medical Group ST Vincent- in Pendleton?

15D0964015, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ascension Medical Group ST Vincent- hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D0964015 expire?

The CMS file lists August 11, 2027 as the certificate expiration date; the certificate took effect August 12, 2025.

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