CLIA lab

CLIA 15D1089905: Good Samaritan Hospital

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

CLIA number 15D1089905 belongs to Good Samaritan Hospital in Vincennes, IN.

Certificate for Provider-Performed Microscopy Procedures, effective September 30, 2026, expires September 29, 2028.

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 for Provider-Performed Microscopy Procedures
Certificate effective
September 30, 2026
Certificate expiration
September 29, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 30, 2008
Facility type
Rural health clinic
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
15D1089905
Lab name
Good Samaritan Hospital
Address
406 N 1st St, FP120, Vincennes, IN 47591
Phone
(812) 882-1106
Fax
(812) 885-2758

Annual test volume the lab reported

Waived tests
500
Provider-performed microscopy tests
150
Total
650

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 Good Samaritan Hospital in Vincennes?

15D1089905, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Good Samaritan Hospital hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 15D1089905 expire?

The CMS file lists September 29, 2028 as the certificate expiration date; the certificate took effect September 30, 2026.

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