CLIA lab
CLIA 15D2095759: State Line Family Medicine
Richmond, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2095759 belongs to State Line Family Medicine in Richmond, IN.
Certificate of Compliance, 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 Compliance
- Certificate effective
- June 17, 2026
- Certificate expiration
- June 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 11, 2015
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2095759
- Lab name
- State Line Family Medicine
- Address
- 535 West Eaton Pike, Richmond, IN 47374
- Phone
- (765) 935-8826
- Fax
- (765) 935-8863
Annual test volume the lab reported
- Waived tests
- 556
- Other nonwaived tests
- 3,216
- Total
- 3,772
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Richmond, IN
- 10th Street ClinicCertificate of Waiver, Federally qualified health center15D2140731
- Alpek Polyester, LLC, USACertificate of Waiver, Industrial15D2333133
- Birthright of Richmond IncCertificate of Waiver, Other15D0360432
- Brickyard Healthcare - Golden Rule Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0360448
- Brickyard Healthcare - Richmond Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0360463
- Brookdale RichmondCertificate of Waiver, Other15D0954237
- Centerstone Health ServicesCertificate of Waiver, Federally qualified health center15D2277680
- Cleanslate CentersCertificate of Waiver, Physician office15D2166240
- Damar Services, IncCertificate of Waiver, Other15D2329153
- Earlham College AthleticsCertificate of Waiver, Other15D2194795
Related
Questions
What is the CLIA number for State Line Family Medicine in Richmond?
15D2095759, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does State Line Family Medicine hold?
A Certificate of Compliance, according to the CMS file.
When does CLIA 15D2095759 expire?
The CMS file lists June 16, 2028 as the certificate expiration date; the certificate took effect June 17, 2026.