CLIA lab
CLIA 15D2002898: Premise Health of Indiana Medical, PC
North Vernon, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2002898 belongs to Premise Health of Indiana Medical, PC in North Vernon, IN.
Certificate of Waiver, effective January 28, 2026, expires January 27, 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
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
- January 28, 2026
- Certificate expiration
- January 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 28, 2010
- Facility type
- Other
- 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
- 15D2002898
- Lab name
- Premise Health of Indiana Medical, PC
- Address
- 1301 W Jfk Dr, North Vernon, IN 47265
- Phone
- (812) 346-9400
- Fax
- (812) 346-9443
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.
Other labs in North Vernon, IN
- Ascension Medical Group ST Vincent -Certificate for Provider-Performed Microscopy Procedures, Physician office15D0886880
- Ascension ST Vincent JenningsCertificate of Accreditation, Hospital15D0686555
- Everside Health-Nvic ClinicCertificate of Waiver, Physician office15D2136801
- Fast Pace Medical Clinic, PLLCCertificate of Waiver, Physician office15D2242556
- Groups Recover TogetherCertificate of Waiver, Community clinic15D2142894
- Jennings Co EMSCertificate of Waiver, Ambulance15D2105526
- Jennings Co Health DeptCertificate of Waiver, Community clinic15D0691007
- Jennings County JailCertificate of Waiver, Other15D2310545
- Jennings County in JailCertificate of Waiver, Other15D2154256
- Jennings Heart CareCertificate of Waiver, Physician office15D2159687
Related
Questions
What is the CLIA number for Premise Health of Indiana Medical, PC in North Vernon?
15D2002898, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Indiana Medical, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2002898 expire?
The CMS file lists January 27, 2028 as the certificate expiration date; the certificate took effect January 28, 2026.