CLIA lab
CLIA 15D2065611: Proactive MD Madison Health Center
Madison, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2065611 belongs to Proactive MD Madison Health Center in Madison, IN.
Certificate of Waiver, effective September 11, 2025, expires September 10, 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
- September 11, 2025
- Certificate expiration
- September 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 11, 2013
- Facility type
- Other practitioner
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2065611
- Lab name
- Proactive MD Madison Health Center
- Address
- 2580 Michigan Rd, Madison, IN 47250
- Phone
- (812) 801-4323
- Fax
- (833) 638-0125
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.
Affiliated CLIA numbers
Other labs in Madison, IN
- American Kidney Center of MadisonCertificate of Waiver, End stage renal disease dialysis facility15D2138652
- Britt Family MedicineCertificate of Waiver, Physician office15D1094500
- Commonwealth Pain Associates, PLLCCertificate of Waiver, Physician office15D2327748
- DBA Hickory Creek at Madison Henry Co Mem HospitalCertificate of Waiver, Skilled nursing or nursing facility15D0668790
- Eye Assoicates of S Ind PCCertificate of Waiver, Physician office15D2122070
- Jefferson Co Health DepartmentCertificate of Waiver, Rural health clinic15D0672448
- Jewel PlaceCertificate of Waiver, Skilled nursing or nursing facility15D1032624
- Kroger Pharmacy #741Certificate of Waiver, Pharmacy15D2001076
- Life Choices ClinicCertificate of Waiver, Community clinic15D2119087
- Lifespring Jefferson County OfficeCertificate of Waiver, Community clinic15D2174485
Related
Questions
What is the CLIA number for Proactive MD Madison Health Center in Madison?
15D2065611, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Proactive MD Madison Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2065611 expire?
The CMS file lists September 10, 2027 as the certificate expiration date; the certificate took effect September 11, 2025.