CLIA lab

CLIA 15D0989674: Indiana University Health/Jay Family Practice

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

CLIA number 15D0989674 belongs to Indiana University Health/Jay Family Practice in Portland, IN.

Certificate of Waiver, effective August 2, 2025, expires August 1, 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 2, 2025
Certificate expiration
August 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 2, 2001
Facility type
Hospital
Ownership (control type)
Private
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
15D0989674
Lab name
Indiana University Health/Jay Family Practice
Address
428 W Votaw St, Portland, IN 47371
Phone
(260) 726-8822

Annual test volume the lab reported

Waived tests
18,000

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

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Related

Questions

What is the CLIA number for Indiana University Health/Jay Family Practice in Portland?

15D0989674, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Indiana University Health/Jay Family Practice hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D0989674 expire?

The CMS file lists August 1, 2027 as the certificate expiration date; the certificate took effect August 2, 2025.

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