CLIA lab
CLIA 15D1089908: DBA Indiana Specialty Surgery Center
Bloomington, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1089908 belongs to DBA Indiana Specialty Surgery Center in Bloomington, IN.
Certificate of Waiver, effective September 30, 2024, expiration date September 29, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- September 30, 2024
- Certificate expiration
- September 29, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 30, 2008
- Facility type
- Ambulatory surgery center
- Ownership (control type)
- Proprietary
- 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
- 15D1089908
- Lab name
- DBA Indiana Specialty Surgery Center
- Additional name
- Bloomington ASC, LLC
- Address
- 1380 W Arch Haven Ave, Bloomington, IN 47403
- Phone
- (812) 330-1164
- Fax
- (812) 330-1572
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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- Bloomington Regional Rehabilitation HospitalCertificate of Waiver, Hospital15D2235307
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Related
Questions
What is the CLIA number for DBA Indiana Specialty Surgery Center in Bloomington?
15D1089908, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does DBA Indiana Specialty Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1089908 expire?
The CMS file lists September 29, 2026 as the certificate expiration date; the certificate took effect September 30, 2024.