CLIA lab

CLIA 15D2107103: Community Phy of Ind, Inc

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

CLIA number 15D2107103 belongs to Community Phy of Ind, Inc in Kokomo, IN.

Certificate of Waiver, effective January 6, 2026, expires January 5, 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 Waiver
Certificate effective
January 6, 2026
Certificate expiration
January 5, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 6, 2016
Facility type
Physician office
Ownership (control type)
Other
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
15D2107103
Lab name
Community Phy of Ind, Inc
Address
2401 Columbus Blvd, Kokomo, IN 46901
Phone
(765) 453-1254
Fax
(765) 864-8732

Annual test volume the lab reported

Waived tests
3,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Kokomo, IN

Related

Questions

What is the CLIA number for Community Phy of Ind, Inc in Kokomo?

15D2107103, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Community Phy of Ind, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2107103 expire?

The CMS file lists January 5, 2028 as the certificate expiration date; the certificate took effect January 6, 2026.

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