CLIA lab

CLIA 15D2104980: Riverside Family Clinic, Inc

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

CLIA number 15D2104980 belongs to Riverside Family Clinic, Inc in Vincennes, IN.

Certificate of Waiver, effective November 17, 2025, expires November 16, 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
November 17, 2025
Certificate expiration
November 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 17, 2015
Facility type
Other practitioner
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
15D2104980
Lab name
Riverside Family Clinic, Inc
Address
1600 Willow St Ste A, Vincennes, IN 47591
Phone
(812) 291-5993
Fax
(812) 291-1136

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.

Other labs in Vincennes, IN

Related

Questions

What is the CLIA number for Riverside Family Clinic, Inc in Vincennes?

15D2104980, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Riverside Family Clinic, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2104980 expire?

The CMS file lists November 16, 2027 as the certificate expiration date; the certificate took effect November 17, 2025.

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