CLIA lab
CLIA 15D0997488: Jay Randolph Developmental Services
Portland, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0997488 belongs to Jay Randolph Developmental Services in Portland, IN.
Certificate of Waiver, effective March 19, 2026, expires March 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
- March 19, 2026
- Certificate expiration
- March 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 19, 2002
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- 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
- 15D0997488
- Lab name
- Jay Randolph Developmental Services
- Address
- 522 E North St, Portland, IN 47371
- Phone
- (260) 726-7931
- Fax
- (260) 726-8184
Annual test volume the lab reported
- Waived tests
- 1,460
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Portland, IN
- Crown Pointe Communities, LLCCertificate of Waiver, Assisted living facility15D2136200
- Indiana University Health Jay, IncCertificate of Waiver, Physician office15D2251939
- Indiana University Health/Jay Family MedicineCertificate of Waiver, Hospital15D1081214
- Indiana University Health/Jay Family PracticeCertificate of Waiver, Hospital15D0989674
- Iu Health - Family First HealthcareCertificate of Waiver, Hospital15D1096043
- Iu Health Jay, IncCertificate of Accreditation, Hospital15D2143705
- Jay County Health DepartmentCertificate of Waiver, Other15D0674900
- Meridian Health ServicesCertificate of Waiver, Federally qualified health center15D0668372
- Meridian Health Services CorpCertificate of Waiver, Federally qualified health center15D2122652
- Meridian MDCertificate of Waiver, Federally qualified health center15D2278303
Related
Questions
What is the CLIA number for Jay Randolph Developmental Services in Portland?
15D0997488, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Jay Randolph Developmental Services hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0997488 expire?
The CMS file lists March 18, 2028 as the certificate expiration date; the certificate took effect March 19, 2026.