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CLIA 15D2072103: BD Trustees of Flavius J Witham Mem Hosp
Indianapolis, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2072103 belongs to BD Trustees of Flavius J Witham Mem Hosp in Indianapolis, IN.
Certificate of Waiver, effective January 24, 2026, expires January 23, 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 type
- Certificate of Waiver
- Certificate effective
- January 24, 2026
- Certificate expiration
- January 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 24, 2014
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, other
- 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
- 15D2072103
- Lab name
- BD Trustees of Flavius J Witham Mem Hosp
- Additional name
- D/B/A Clearvista Lake Health Campus
- Address
- 8405 Clearvista Place, Indianapolis, IN 46256
- Phone
- (317) 578-7500
- Fax
- (317) 578-7533
Annual test volume the lab reported
- Waived tests
- 20,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Clearvista Lake Health CampusCMS Care Compare ratings for the facility at the same street address
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Questions
What is the CLIA number for BD Trustees of Flavius J Witham Mem Hosp in Indianapolis?
15D2072103, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does BD Trustees of Flavius J Witham Mem Hosp hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2072103 expire?
The CMS file lists January 23, 2028 as the certificate expiration date; the certificate took effect January 24, 2026.