CLIA lab
CLIA 15D1075100: DBA Illiana Internal Medicine Union Hospital, Inc
Terre Haute, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1075100 belongs to DBA Illiana Internal Medicine Union Hospital, Inc in Terre Haute, IN.
Certificate of Waiver, effective October 12, 2025, expires October 11, 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
- October 12, 2025
- Certificate expiration
- October 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 12, 2007
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D1075100
- Lab name
- DBA Illiana Internal Medicine Union Hospital, Inc
- Address
- 601 Surgery Center Dr, Terre Haute, IN 47802
- Phone
- (812) 235-1200
- Fax
- (812) 244-0592
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Terre Haute, IN
- Ambucare Clinic South PCCertificate of Waiver, Physician office15D0708269
- Ambulance Management Services, LTDCertificate of Waiver, Ambulance15D2339451
- Anabranch Recovery CenterCertificate of Waiver, Other15D2286025
- Angels Care Home HealthCertificate of Waiver, Home health agency15D2145341
- Antwan Mardini MDCertificate of Waiver, Physician office15D2268360
- Biomat USA IncCertificate of Accreditation, Other15D1084786
- Bunkerhill Group HomeCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities15D2316959
- CSL Plasma, IncCertificate of Compliance, Other15D2165079
- Centerwell Home HealthCertificate of Waiver, Home health agency15D0968117
- City of Terre Haute Fire DeptCertificate of Waiver, Ambulance15D2096799
Related
Questions
What is the CLIA number for DBA Illiana Internal Medicine Union Hospital, Inc in Terre Haute?
15D1075100, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DBA Illiana Internal Medicine Union Hospital, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1075100 expire?
The CMS file lists October 11, 2027 as the certificate expiration date; the certificate took effect October 12, 2025.