CLIA lab
CLIA 15D1083746: Daviess Community Hospital Montgomery Medical
Montgomery, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1083746 belongs to Daviess Community Hospital Montgomery Medical in Montgomery, IN.
Certificate of Waiver, effective March 1, 2025, expires February 28, 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
- March 1, 2025
- Certificate expiration
- February 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 9, 2008
- 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
- 15D1083746
- Lab name
- Daviess Community Hospital Montgomery Medical
- Additional name
- Clinic
- Address
- 542 N 3rd Street, Montgomery, IN 47558
- Phone
- (812) 254-2760
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Montgomery, IN
Related
Questions
What is the CLIA number for Daviess Community Hospital Montgomery Medical in Montgomery?
15D1083746, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Daviess Community Hospital Montgomery Medical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1083746 expire?
The CMS file lists February 28, 2027 as the certificate expiration date; the certificate took effect March 1, 2025.