CLIA lab

CLIA 15D2079492: ST Vincent Williamsport Hospital

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

CLIA number 15D2079492 belongs to ST Vincent Williamsport Hospital in Williamsport, IN.

Certificate of Waiver, effective June 17, 2026, expires June 16, 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
June 17, 2026
Certificate expiration
June 16, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
June 17, 2014
Facility type
Hospital
Ownership (control type)
Religious affiliation
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
15D2079492
Lab name
ST Vincent Williamsport Hospital
Address
412 N Monroe St, Williamsport, IN 47993
Phone
(765) 762-4000
Fax
(765) 762-4104

Annual test volume the lab reported

Waived tests
4,300

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Care facility at this address

Other labs in Williamsport, IN

Related

Questions

What is the CLIA number for ST Vincent Williamsport Hospital in Williamsport?

15D2079492, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Vincent Williamsport Hospital hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2079492 expire?

The CMS file lists June 16, 2028 as the certificate expiration date; the certificate took effect June 17, 2026.

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