CLIA lab
CLIA 15D2107916: North Clark Medical Group, LLC
Charlestown, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2107916 belongs to North Clark Medical Group, LLC in Charlestown, IN.
Certificate of Waiver, effective January 26, 2026, expires January 25, 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 26, 2026
- Certificate expiration
- January 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 26, 2016
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2107916
- Lab name
- North Clark Medical Group, LLC
- Address
- 2100 Market Street, Charlestown, IN 47111
- Phone
- (812) 288-2488
- Fax
- (812) 288-6603
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Charlestown, IN
- American Health Network of Indiana, LLCCertificate of Waiver, Physician office15D1086804
- BhmgCertificate of Waiver, Physician office15D1062085
- Charlestown Community MedicalCertificate of Waiver, Federally qualified health center15D2314043
- Hoke Medical LLCCertificate of Waiver, Physician office15D2180933
- Joseph H Beaven MD LLCCertificate for Provider-Performed Microscopy Procedures, Physician office15D0671957
- Kroger Pharmacy #57Certificate of Waiver, Other15D2067572
- Little Clinic of in, LLC, theCertificate of Waiver, Other15D2123715
- Norton Community Medical Associates - CharlestownCertificate of Waiver, Physician office15D1020413
- River Crossing Ind & Ast Living ComCertificate of Waiver, Assisted living facility15D1096279
- Southern Indiana Comprehensive Treatment CenterCertificate of Waiver, Comprehensive outpatient rehab facility15D1045766
Related
Questions
What is the CLIA number for North Clark Medical Group, LLC in Charlestown?
15D2107916, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does North Clark Medical Group, LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2107916 expire?
The CMS file lists January 25, 2028 as the certificate expiration date; the certificate took effect January 26, 2026.