CLIA lab

CLIA 15D0998767: Plaza Park Family Practice, LLC

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

CLIA number 15D0998767 belongs to Plaza Park Family Practice, LLC in Newburgh, IN.

Certificate for Provider-Performed Microscopy Procedures, effective April 24, 2026, expires April 23, 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 for Provider-Performed Microscopy Procedures
Certificate effective
April 24, 2026
Certificate expiration
April 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 24, 2002
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
15D0998767
Lab name
Plaza Park Family Practice, LLC
Address
3799 Venetian Way, Newburgh, IN 47630
Phone
(812) 471-4302
Fax
(812) 471-4303

Annual test volume the lab reported

Waived tests
800
Provider-performed microscopy tests
30
Total
830

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 Plaza Park Family Practice, LLC in Newburgh?

15D0998767, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Plaza Park Family Practice, LLC hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 15D0998767 expire?

The CMS file lists April 23, 2028 as the certificate expiration date; the certificate took effect April 24, 2026.

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