CLIA lab

CLIA 15D2065624: Proactive MD Brazil Health Center

Brazil, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 15D2065624 belongs to Proactive MD Brazil Health Center in Brazil, IN.

Certificate of Waiver, effective September 12, 2025, expires September 11, 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 12, 2025
Certificate expiration
September 11, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 12, 2013
Facility type
Other practitioner
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
6

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
15D2065624
Lab name
Proactive MD Brazil Health Center
Address
501 E Jackson St A, Brazil, IN 47834
Phone
(888) 862-9525
Fax
(833) 638-0098

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 Brazil, IN

Related

Questions

What is the CLIA number for Proactive MD Brazil Health Center in Brazil?

15D2065624, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Proactive MD Brazil Health Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2065624 expire?

The CMS file lists September 11, 2027 as the certificate expiration date; the certificate took effect September 12, 2025.

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