CLIA lab
CLIA 15D1040005: Kingsway Community Care Center
Avon, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1040005 belongs to Kingsway Community Care Center in Avon, IN.
Certificate of Waiver, effective April 27, 2025, expires April 26, 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
- April 27, 2025
- Certificate expiration
- April 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 27, 2005
- Facility type
- Community clinic
- Ownership (control type)
- Religious affiliation
- 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
- 15D1040005
- Lab name
- Kingsway Community Care Center
- Address
- 107 Park Pl Blvd, Avon, IN 46123
- Phone
- (317) 272-0708
- Fax
- (317) 272-0918
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- Avon Employer Solutions Shared ClinicCertificate of Waiver, Physician office15D2348171
- Avon Family HealthCertificate of Waiver, Physician office15D1103176
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- Avon Marketplace ASC, LLC DBA West Indy SurgeryCertificate of Waiver, Ambulatory surgery center15D2316763
Related
Questions
What is the CLIA number for Kingsway Community Care Center in Avon?
15D1040005, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kingsway Community Care Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1040005 expire?
The CMS file lists April 26, 2027 as the certificate expiration date; the certificate took effect April 27, 2025.