CLIA lab

CLIA 15D1070183: ST Elizabeth Physician Primary Care Hidden Valley

Greendale, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 15D1070183 belongs to ST Elizabeth Physician Primary Care Hidden Valley in Greendale, IN.

Certificate of Waiver, effective June 22, 2025, expires June 21, 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 22, 2025
Certificate expiration
June 21, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 22, 2007
Facility type
Physician office
Ownership (control type)
Private
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
15D1070183
Lab name
ST Elizabeth Physician Primary Care Hidden Valley
Address
1640 Flossie Drive, Greendale, IN 47025
Phone
(812) 496-2808
Fax
(812) 496-2809

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for ST Elizabeth Physician Primary Care Hidden Valley in Greendale?

15D1070183, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Elizabeth Physician Primary Care Hidden Valley hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D1070183 expire?

The CMS file lists June 21, 2027 as the certificate expiration date; the certificate took effect June 22, 2025.

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