CLIA lab
CLIA 15D2040204: A W Holdings
La Fontaine, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2040204 belongs to A W Holdings in La Fontaine, IN.
Certificate of Waiver, effective April 25, 2026, expires April 24, 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 of Waiver
- Certificate effective
- April 25, 2026
- Certificate expiration
- April 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 25, 2012
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- 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
- 15D2040204
- Lab name
- A W Holdings
- Address
- 10633 S America Rd, La Fontaine, IN 46940
- Phone
- (812) 679-7844
- Fax
- (317) 974-3034
Annual test volume the lab reported
- Waived tests
- 365
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in La Fontaine, IN
Related
Questions
What is the CLIA number for A W Holdings in La Fontaine?
15D2040204, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does A W Holdings hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2040204 expire?
The CMS file lists April 24, 2028 as the certificate expiration date; the certificate took effect April 25, 2026.