CLIA lab
CLIA 15D0979699: Pendleton Juvenile Correctional Facility
Pendleton, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0979699 belongs to Pendleton Juvenile Correctional Facility in Pendleton, IN.
Certificate of Waiver, effective October 30, 2024, expires October 29, 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
- October 30, 2024
- Certificate expiration
- October 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 30, 2000
- Facility type
- Prison
- 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
- 15D0979699
- Lab name
- Pendleton Juvenile Correctional Facility
- Address
- 9310 S State Rd 67, Pendleton, IN 46064
- Phone
- (765) 778-3778
Annual test volume the lab reported
- Waived tests
- 40,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pendleton, IN
- Ascension Medical Group ST Vincent -Certificate for Provider-Performed Microscopy Procedures, Physician office15D0919785
- Ascension Medical Group ST Vincent-Certificate of Waiver, Physician office15D0964015
- Correctional Industrial FacilityCertificate of Waiver, Prison15D0873928
- Family Medicine Care PendletonCertificate of Waiver, Physician office15D1034017
- Indiana ReformatoryCertificate of Waiver, Prison15D0886022
- Riverview Hospital-D/B/A Rawlins House Health &Certificate of Waiver, Skilled nursing or nursing facility15D0669795
- ST Vincent Home Health AndersonCertificate of Waiver, Home health agency15D2030302
Related
Questions
What is the CLIA number for Pendleton Juvenile Correctional Facility in Pendleton?
15D0979699, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pendleton Juvenile Correctional Facility hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0979699 expire?
The CMS file lists October 29, 2026 as the certificate expiration date; the certificate took effect October 30, 2024.