CLIA lab
CLIA 15D2093904: Premise Health of Indiana Medical, PC
Mt Vernon, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2093904 belongs to Premise Health of Indiana Medical, PC in Mt Vernon, IN.
Certificate of Waiver, effective April 7, 2025, expires April 6, 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
- April 7, 2025
- Certificate expiration
- April 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 7, 2015
- Facility type
- Physician office
- 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
- 15D2093904
- Lab name
- Premise Health of Indiana Medical, PC
- Address
- 4601 Highway 62 E, Mt Vernon, IN 47620
- Phone
- (812) 307-2336
- Fax
- (812) 307-2454
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mt Vernon, IN
- Ascension ST Vincent Tri State ClinicsCertificate of Waiver, Physician office15D2088366
- Health & Hosp Corp of Marion Co, the D/B/A MTCertificate of Waiver, Skilled nursing or nursing facility15D0864582
- Posey County Health DepartmentCertificate of Waiver, Public health laboratory15D0673826
- Posey County Sheriff's OfficeCertificate of Waiver, Other15D2316518
Related
Questions
What is the CLIA number for Premise Health of Indiana Medical, PC in Mt Vernon?
15D2093904, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Indiana Medical, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2093904 expire?
The CMS file lists April 6, 2027 as the certificate expiration date; the certificate took effect April 7, 2025.