CLIA lab
CLIA 15D2009004: BD Trustees of Flavius J Witham Mem Hosp
Monticello, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2009004 belongs to BD Trustees of Flavius J Witham Mem Hosp in Monticello, IN.
Certificate of Waiver, effective June 23, 2026, expires June 22, 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
- June 23, 2026
- Certificate expiration
- June 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 23, 2010
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, 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
- 15D2009004
- Lab name
- BD Trustees of Flavius J Witham Mem Hosp
- Additional name
- DBA White Oak Health Campus
- Address
- 814 S 6th St, Monticello, IN 47960
- Phone
- (574) 583-0324
- Fax
- (574) 583-0325
Annual test volume the lab reported
- Waived tests
- 28,864
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- White Oak Health CampusCMS Care Compare ratings for the facility at the same street address
Other labs in Monticello, IN
- Hook-Superx, LLC DBA Cvs/Pharmacy #06535Certificate of Waiver, Pharmacy15D2283120
- Iu Health White Memorial HospitalCertificate of Accreditation, Hospital15D0362525
- Iuhmg Primary CareCertificate of Waiver, Physician office15D0919924
- Iuhmg Walk inCertificate of Waiver, Physician office15D2333152
- Kroger Pharmacy 138Certificate of Waiver, Pharmacy15D1077740
- Monticello HealthcareCertificate of Waiver, Skilled nursing or nursing facility15D0362521
- Polymer Science, IncCertificate of Waiver, Other15D2222480
- Proactive MD - MonticelloCertificate of Waiver, Physician office15D2182128
- Tribbett Family Medicine, LLCCertificate of Waiver, Physician office15D2116076
- Walmart Pharmacy #10-2771Certificate of Waiver, Pharmacy15D2146295
Related
Questions
What is the CLIA number for BD Trustees of Flavius J Witham Mem Hosp in Monticello?
15D2009004, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does BD Trustees of Flavius J Witham Mem Hosp hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2009004 expire?
The CMS file lists June 22, 2028 as the certificate expiration date; the certificate took effect June 23, 2026.