CLIA lab
CLIA 15D1043047: Community Physicians of Indiana Inc/Fam Med Fortvi
Fortville, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1043047 belongs to Community Physicians of Indiana Inc/Fam Med Fortvi in Fortville, IN.
Certificate of Waiver, effective July 14, 2025, expires July 13, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- July 14, 2025
- Certificate expiration
- July 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 14, 2005
- Facility type
- Physician office
- Ownership (control type)
- 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
- 15D1043047
- Lab name
- Community Physicians of Indiana Inc/Fam Med Fortvi
- Address
- 545 Vitality Dr Ste 100A, Fortville, IN 46040
- Phone
- (317) 621-9220
- Fax
- (317) 621-9222
Annual test volume the lab reported
- Waived tests
- 5,550
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fortville, IN
Related
Questions
What is the CLIA number for Community Physicians of Indiana Inc/Fam Med Fortvi in Fortville?
15D1043047, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Community Physicians of Indiana Inc/Fam Med Fortvi hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1043047 expire?
The CMS file lists July 13, 2027 as the certificate expiration date; the certificate took effect July 14, 2025.