CLIA lab
CLIA 15D0975869: Oak Grove Christian Retirement Village
Demotte, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0975869 belongs to Oak Grove Christian Retirement Village in Demotte, IN.
Certificate of Waiver, effective July 19, 2026, expires July 18, 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
- July 19, 2026
- Certificate expiration
- July 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 19, 2000
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, 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
- 15D0975869
- Lab name
- Oak Grove Christian Retirement Village
- Address
- 221 W Division St, Demotte, IN 46310
- Phone
- (219) 987-7005
- Fax
- (219) 987-7401
Annual test volume the lab reported
- Waived tests
- 10,150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Oak Grove Christian Retirement VillageCMS Care Compare ratings for the facility at the same street address
Other labs in Demotte, IN
- Aperion Care DemotteCertificate of Waiver, Skilled nursing or nursing facility15D0355144
- Clinical Management Services, IncCertificate of Waiver, Home health agency15D0721954
- Connection Medical ClinicCertificate of Waiver, Other practitioner15D2223405
- Leestma Medical ClinicCertificate of Waiver, Physician office15D0919923
- Minuteclinic Diag of Ind, LLC #6908Certificate of Waiver, Other15D2059272
- Northshore Health Centers - DemotteCertificate of Waiver, Federally qualified health center15D2241441
- Valley PharmacyCertificate of Waiver, Pharmacy15D2196609
- Walgreens #12640Certificate of Waiver, Pharmacy15D2071474
Related
Questions
What is the CLIA number for Oak Grove Christian Retirement Village in Demotte?
15D0975869, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Oak Grove Christian Retirement Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0975869 expire?
The CMS file lists July 18, 2028 as the certificate expiration date; the certificate took effect July 19, 2026.