CLIA lab
CLIA 15D1095000: Sullivan Health & Wellness Clinic
Sullivan, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1095000 belongs to Sullivan Health & Wellness Clinic in Sullivan, IN.
Certificate of Waiver, effective January 30, 2025, expires January 29, 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
- January 30, 2025
- Certificate expiration
- January 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 30, 2009
- Facility type
- Physician office
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 3
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D1095000
- Lab name
- Sullivan Health & Wellness Clinic
- Address
- 2200 N Section St Suite B, Sullivan, IN 47882
- Phone
- (812) 268-4311
- Fax
- (812) 268-2660
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Sullivan, IN
- Breckendridge Health & RehabilitationCertificate of Waiver, Skilled nursing or nursing facility15D0362148
- Breckenridge CommonsCertificate of Waiver, Assisted living facility15D2071122
- Family Practice AssociatesCertificate of Waiver, Physician office15D0991342
- Medical Associates of Terre Haute, LLCCertificate of Waiver, Physician office15D2175272
- Mso Clinics Inc-D/B/A Lakeside Family MedicalCertificate of Waiver, Physician office15D2084371
- Mso Clinics Inc-D/B/A Quick CareCertificate of Waiver, Physician office15D2146817
- Qcc/Sullivan County JailCertificate of Waiver, Other15D2203378
- Scch- Health AnnexCertificate of Waiver, Physician office15D2319878
- Sullivan County Ambulance ServiceCertificate of Waiver, Other15D0862473
- Sullivan County Community HospitalCertificate of Accreditation, Hospital15D0362144
Related
Questions
What is the CLIA number for Sullivan Health & Wellness Clinic in Sullivan?
15D1095000, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sullivan Health & Wellness Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1095000 expire?
The CMS file lists January 29, 2027 as the certificate expiration date; the certificate took effect January 30, 2025.