CLIA lab

CLIA 15D0966903: Eastside Family Medicine

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

CLIA number 15D0966903 belongs to Eastside Family Medicine in Crawfordsville, IN.

Certificate of Waiver, effective September 14, 2026, expires September 13, 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 of Waiver
Certificate effective
September 14, 2026
Certificate expiration
September 13, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 27, 1999
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
15D0966903
Lab name
Eastside Family Medicine
Additional name
Attn Mgmt Clia Regulatory Certification
Address
2056 Lebanon Rd, Crawfordsville, IN 47933
Phone
(765) 361-9930
Fax
(765) 361-9931

Annual test volume the lab reported

Waived tests
3,692

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

Other labs in Crawfordsville, IN

Related

Questions

What is the CLIA number for Eastside Family Medicine in Crawfordsville?

15D0966903, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Eastside Family Medicine hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D0966903 expire?

The CMS file lists September 13, 2028 as the certificate expiration date; the certificate took effect September 14, 2026.

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