CLIA lab
CLIA 15D2076905: SHP V Reagan Park, LLC
Avon, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2076905 belongs to SHP V Reagan Park, LLC in Avon, IN.
Certificate of Waiver, effective April 29, 2026, expires April 28, 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
- Certificate type
- Certificate of Waiver
- Certificate effective
- April 29, 2026
- Certificate expiration
- April 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 29, 2014
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- 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
- 15D2076905
- Lab name
- SHP V Reagan Park, LLC
- Additional name
- DBA Traditions at Reagan Park
- Address
- 1176 Kingwood Dr, Avon, IN 46123
- Phone
- (317) 271-0100
- Fax
- (317) 271-0104
Annual test volume the lab reported
- Waived tests
- 19,710
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Advent AvonCertificate of Waiver, Physician office15D2308332
- American Health Network of Indiana, LLCCertificate of Waiver, Physician office15D0352644
- American Health Network of in, LLCCertificate of Waiver, Physician office15D2105378
- Any Lab Test NowCertificate of Waiver, Independent15D2063222
- Ascension Medical Group ST Vincent -Certificate of Waiver, Physician office15D1001784
- Avon Employer Solutions Shared ClinicCertificate of Waiver, Physician office15D2348171
- Avon Family HealthCertificate of Waiver, Physician office15D1103176
- Avon Internal MedicineCertificate of Waiver, Physician office15D0877095
- Avon Marketplace ASC, LLC DBA West Indy SurgeryCertificate of Waiver, Ambulatory surgery center15D2316763
Related
Questions
What is the CLIA number for SHP V Reagan Park, LLC in Avon?
15D2076905, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does SHP V Reagan Park, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2076905 expire?
The CMS file lists April 28, 2028 as the certificate expiration date; the certificate took effect April 29, 2026.