CLIA lab
CLIA 15D2063566: Montgomery Co Free Clinic, Inc
Crawfordsville, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2063566 belongs to Montgomery Co Free Clinic, Inc in Crawfordsville, IN.
Certificate for Provider-Performed Microscopy Procedures, effective August 6, 2025, expires August 5, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- August 6, 2025
- Certificate expiration
- August 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 6, 2013
- Facility type
- Community clinic
- Ownership (control type)
- Private
- 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
- 15D2063566
- Lab name
- Montgomery Co Free Clinic, Inc
- Address
- 816 S Mill St, Crawfordsville, IN 47933
- Phone
- (765) 230-2784
- Fax
- (765) 361-6543
Annual test volume the lab reported
- Waived tests
- 1,000
- Provider-performed microscopy tests
- 200
- Total
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Crawfordsville, IN
- 1019 Belle's Place of CrawfordsvilleCertificate of Waiver, Assisted living facility15D1057396
- Access Medical Clinic LLCCertificate of Waiver, Physician office15D2270237
- Chiromed Plus, LLCCertificate of Waiver, Physician office15D2136398
- Country Doc/Larry D LovallCertificate of Waiver, Physician office15D0940716
- Crawfordsville Emergency Ambulance SVC City ofCertificate of Waiver, Ambulance15D2036247
- D/B/A Ben Hur Health & Rehab Health & Hosp Corp ofCertificate of Waiver, Skilled nursing or nursing facility15D0723292
- D/B/A Hickory Creek at Crawfordsville-HenryCertificate of Waiver, Skilled nursing or nursing facility15D0362437
- Eastside Family MedicineCertificate of Waiver, Physician office15D0966903
- FPN - Southside Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office15D0689927
- Franciscan Expresscare CrawfordsvilleCertificate for Provider-Performed Microscopy Procedures, Other15D2274096
Related
Questions
What is the CLIA number for Montgomery Co Free Clinic, Inc in Crawfordsville?
15D2063566, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Montgomery Co Free Clinic, Inc hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 15D2063566 expire?
The CMS file lists August 5, 2027 as the certificate expiration date; the certificate took effect August 6, 2025.