CLIA lab
CLIA 15D1034017: Family Medicine Care Pendleton
Pendleton, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1034017 belongs to Family Medicine Care Pendleton in Pendleton, IN.
Certificate of Waiver, effective June 23, 2025, expires June 22, 2027.
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
- June 23, 2025
- Certificate expiration
- June 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 23, 2004
- 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
- 15D1034017
- Lab name
- Family Medicine Care Pendleton
- Address
- 200 Enterprise Drive, Suite A, Pendleton, IN 46064
- Phone
- (765) 298-4567
- Fax
- (765) 298-4568
Annual test volume the lab reported
- Waived tests
- 7,700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pendleton, IN
- Ascension Medical Group ST Vincent -Certificate for Provider-Performed Microscopy Procedures, Physician office15D0919785
- Ascension Medical Group ST Vincent-Certificate of Waiver, Physician office15D0964015
- Correctional Industrial FacilityCertificate of Waiver, Prison15D0873928
- Indiana ReformatoryCertificate of Waiver, Prison15D0886022
- Pendleton Juvenile Correctional FacilityCertificate of Waiver, Prison15D0979699
- Riverview Hospital-D/B/A Rawlins House Health &Certificate of Waiver, Skilled nursing or nursing facility15D0669795
- ST Vincent Home Health AndersonCertificate of Waiver, Home health agency15D2030302
Related
Questions
What is the CLIA number for Family Medicine Care Pendleton in Pendleton?
15D1034017, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Family Medicine Care Pendleton hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1034017 expire?
The CMS file lists June 22, 2027 as the certificate expiration date; the certificate took effect June 23, 2025.