CLIA lab
CLIA 15D2091875: Proactive MD Spencer Health Center
Spencer, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2091875 belongs to Proactive MD Spencer Health Center in Spencer, IN.
Certificate of Waiver, effective February 20, 2025, expires February 19, 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
- February 20, 2025
- Certificate expiration
- February 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 20, 2015
- 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
- 15D2091875
- Lab name
- Proactive MD Spencer Health Center
- Address
- 630 W State Highway 46, Spencer, IN 47460
- Phone
- (888) 862-9525
- Fax
- (833) 638-0139
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 Spencer, IN
- Aperion Care SpencerCertificate of Waiver, Skilled nursing or nursing facility15D0944906
- Boston Scientific OnsiteCertificate of Waiver, Physician office15D2317808
- Iuhmg Primary CareCertificate of Waiver, Physician office15D2156167
- Myeyedr Optometry of Indiana, LLCCertificate of Waiver, Physician office15D2303303
- New Beginnings Pregnancy Resource CenterCertificate of Waiver, Other15D2349618
- Owen County Health DepartmentCertificate of Waiver, Public health laboratory15D2200430
- Owen Valley Rehabilitation and Healthcare CenterCertificate of Waiver, Skilled nursing or nursing facility15D0954682
- Qcc/Owen County JailCertificate of Waiver, Other15D2203350
- Walden Family HealthcareCertificate of Waiver, Other practitioner15D2271061
- Walmart Pharmacy #10-0996Certificate of Waiver, Pharmacy15D2144672
Related
Questions
What is the CLIA number for Proactive MD Spencer Health Center in Spencer?
15D2091875, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Proactive MD Spencer Health Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2091875 expire?
The CMS file lists February 19, 2027 as the certificate expiration date; the certificate took effect February 20, 2025.