CLIA lab
CLIA 15D0971849: Saint Charles Surgical Pavilion Inc
Jasper, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0971849 belongs to Saint Charles Surgical Pavilion Inc in Jasper, IN.
Certificate of Waiver, effective March 22, 2026, expires March 21, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 22, 2026
- Certificate expiration
- March 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 22, 2000
- Facility type
- Ambulatory surgery center
- 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
- 15D0971849
- Lab name
- Saint Charles Surgical Pavilion Inc
- Address
- 1900 St Charles St, Jasper, IN 47546
- Phone
- (812) 634-1211
- Fax
- (812) 634-7252
Annual test volume the lab reported
- Waived tests
- 1,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jasper, IN
- 47th Street ICFCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities15D2317402
- Ann Paterson MDCertificate for Provider-Performed Microscopy Procedures, Physician office15D0961884
- Brookside Village Health & Living CenterCertificate of Waiver, Skilled nursing or nursing facility15D0999958
- 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 Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office15D0940633
- DC Jasper PediatricsCertificate of Waiver, Physician office15D0361024
Related
Questions
What is the CLIA number for Saint Charles Surgical Pavilion Inc in Jasper?
15D0971849, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Saint Charles Surgical Pavilion Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0971849 expire?
The CMS file lists March 21, 2028 as the certificate expiration date; the certificate took effect March 22, 2026.