CLIA lab
CLIA 15D2085229: Witham Memorial Hospital
Lebanon, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2085229 belongs to Witham Memorial Hospital in Lebanon, IN.
Certificate of Waiver, effective October 9, 2024, expiration date October 8, 2026.
The CMS file posted October 16, 2026 lists the certificate as active, but its expiration date has passed. A renewal may not be in this file yet.
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
- October 9, 2024
- Certificate expiration
- October 8, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 9, 2014
- Facility type
- Physician office
- Ownership (control type)
- Government, county
- 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
- 15D2085229
- Lab name
- Witham Memorial Hospital
- Address
- 400 N Mount Zion Rd, Lebanon, IN 46052
- Phone
- (765) 335-0123
- Fax
- (765) 335-0127
Annual test volume the lab reported
- Waived tests
- 5,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lebanon, IN
- Allied Occupational MedicineCertificate of Waiver, Physician office15D2335290
- Ameripath Indiana / Witham Health ServicesCertificate of Accreditation, Independent15D2226452
- BD Trustees of Flavius J Witham Mem HospCertificate of Waiver, Skilled nursing or nursing facility15D0981342
- Boone Co Health DeptCertificate of Waiver, Other15D0677340
- Boone County JailCertificate of Waiver, Other15D2276959
- Careonsite Project DominoCertificate of Waiver, Other15D2331954
- Caterpillar Logistics Inc - Lebanon, inCertificate of Waiver, Other15D2338038
- Crownpointe Comm LLC DBA Crownpointe of LebnCertificate of Waiver, Assisted living facility15D2111797
- D/B/A Signature Healthcare at ParkwoodCertificate of Waiver, Skilled nursing or nursing facility15D0667334
- Integrative Wellness, LLCCertificate of Waiver, Physician office15D2281929
Related
Questions
What is the CLIA number for Witham Memorial Hospital in Lebanon?
15D2085229, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Witham Memorial Hospital hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2085229 expire?
The CMS file lists October 8, 2026 as the certificate expiration date; the certificate took effect October 9, 2024.