CLIA lab
CLIA 15D2120856: Providence Hospice, Inc
St John, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2120856 belongs to Providence Hospice, Inc in St John, IN.
Certificate of Waiver, effective October 26, 2026, expires October 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
- October 26, 2026
- Certificate expiration
- October 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 26, 2016
- Facility type
- Hospice
- Ownership (control type)
- Private
- 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
- 15D2120856
- Lab name
- Providence Hospice, Inc
- Address
- 10700 Park Place, St John, IN 46373
- Phone
- (800) 509-2800
- Fax
- (219) 365-3524
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.
Care facility at this address
- Providence Hospice, IncCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Providence Hospice, Inc in St John?
15D2120856, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Hospice, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2120856 expire?
The CMS file lists October 25, 2028 as the certificate expiration date; the certificate took effect October 26, 2026.