CLIA lab
CLIA 15D0999958: Brookside Village Health & Living Center
Jasper, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D0999958 belongs to Brookside Village Health & Living Center in Jasper, IN.
Certificate of Waiver, effective May 29, 2026, expires May 28, 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
- May 29, 2026
- Certificate expiration
- May 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 29, 2002
- 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
- 15D0999958
- Lab name
- Brookside Village Health & Living Center
- Address
- 1111 Church Avenue, Jasper, IN 47546
- Phone
- (812) 634-7750
Annual test volume the lab reported
- Waived tests
- 6,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Brookside Village IncCMS Care Compare ratings for the facility at the same street address
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- DC Jasper PediatricsCertificate of Waiver, Physician office15D0361024
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Related
Questions
What is the CLIA number for Brookside Village Health & Living Center in Jasper?
15D0999958, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brookside Village Health & Living Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D0999958 expire?
The CMS file lists May 28, 2028 as the certificate expiration date; the certificate took effect May 29, 2026.