CLIA lab
CLIA 15D1003621: Deaconess Memorial Center Petersburg
Petersburg, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1003621 belongs to Deaconess Memorial Center Petersburg in Petersburg, IN.
Certificate of Waiver, effective September 5, 2026, expires September 4, 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
- September 5, 2026
- Certificate expiration
- September 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 5, 2002
- Facility type
- Physician office
- Ownership (control type)
- Religious affiliation
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D1003621
- Lab name
- Deaconess Memorial Center Petersburg
- Additional name
- Family Medicine
- Address
- 1003 E Illinois Street, Petersburg, IN 47567
- Phone
- (812) 354-1052
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Petersburg, IN
- Amber Manor Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0662399
- Brickyard Healthcare - Petersburg Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0663186
- Deaconess Clinic Inc/PetersburgCertificate of Waiver, Physician office15D0919558
- Weisman Medical Services, LLCCertificate of Waiver, Physician office15D2322408
Related
Questions
What is the CLIA number for Deaconess Memorial Center Petersburg in Petersburg?
15D1003621, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Deaconess Memorial Center Petersburg hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1003621 expire?
The CMS file lists September 4, 2028 as the certificate expiration date; the certificate took effect September 5, 2026.