CLIA lab
CLIA 15D1004665: Ascension Medical Group ST Vincent - Primary Care
Evansville, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1004665 belongs to Ascension Medical Group ST Vincent - Primary Care in Evansville, IN.
Certificate of Waiver, effective October 2, 2026, expires October 1, 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
- October 2, 2026
- Certificate expiration
- October 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 2, 2002
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 15D1004665
- Lab name
- Ascension Medical Group ST Vincent - Primary Care
- Additional name
- Bellmeade Office Building Suite 200a
- Address
- 3801 Bellemeade Ave, Ste 200A, Evansville, IN 47714
- Phone
- (812) 485-1796
- Fax
- (812) 485-1790
Annual test volume the lab reported
- Waived tests
- 88
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- American Medical ResponseCertificate of Waiver, Ambulance15D0683275
- American National Red Cross - Evansville, in, theCertificate of Waiver, Blood bank15D0361523
- Amg SV - Westside Crossing Walk-In CareCertificate of Waiver, Physician office15D0361576
- Aperion Care LincolnCertificate of Waiver, Skilled nursing or nursing facility15D2070494
- Ascension Medical Group DermatologyCertificate of Compliance, Physician office15D2108281
- Ascension Medical Group ST Vincent -Certificate of Waiver, Physician office15D2090743
- Ascension Medical Group ST Vincent - EvansvilleCertificate for Provider-Performed Microscopy Procedures, Physician office15D1043244
Related
Questions
What is the CLIA number for Ascension Medical Group ST Vincent - Primary Care in Evansville?
15D1004665, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ascension Medical Group ST Vincent - Primary Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1004665 expire?
The CMS file lists October 1, 2028 as the certificate expiration date; the certificate took effect October 2, 2026.