CLIA lab
CLIA 15D2062009: Deaconess Clinic - Gibson FT Branch
Fort Branch, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2062009 belongs to Deaconess Clinic - Gibson FT Branch in Fort Branch, IN.
Certificate of Waiver, effective May 22, 2025, expires May 21, 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
- May 22, 2025
- Certificate expiration
- May 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 9, 2013
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2062009
- Lab name
- Deaconess Clinic - Gibson FT Branch
- Address
- 7851 S Professional Drive, Fort Branch, IN 47648
- Phone
- (812) 615-5071
- Fax
- (812) 615-5040
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fort Branch, IN
- Ascension Medical Group ST Vincent - ObstetricsCertificate for Provider-Performed Microscopy Procedures, Physician office15D1067453
- Deaconess Clinic Inc/Ft BranchCertificate of Waiver, Physician office15D0923906
- Deaconess Clinic at Work FT BranchCertificate of Waiver, Physician office15D2161508
- South Gibson Medical ClinicCertificate of Waiver, Physician office15D0861511
- Tulip Tree Family Health CareCertificate of Waiver, Federally qualified health center15D0965212
Related
Questions
What is the CLIA number for Deaconess Clinic - Gibson FT Branch in Fort Branch?
15D2062009, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Deaconess Clinic - Gibson FT Branch hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2062009 expire?
The CMS file lists May 21, 2027 as the certificate expiration date; the certificate took effect May 22, 2025.