CLIA lab
CLIA 15D2139018: Clean Slate Centers
Evansville, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2139018 belongs to Clean Slate Centers in Evansville, IN.
Certificate of Waiver, effective October 30, 2025, expires October 29, 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
- October 30, 2025
- Certificate expiration
- October 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 30, 2017
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2139018
- Lab name
- Clean Slate Centers
- Address
- 4411 Washington Avenue, Suite 105, Evansville, IN 47714
- Phone
- (413) 584-2173
- Fax
- (413) 322-9089
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Evansville, IN
- Adams County Memorial Hospital D/B/A Envive ofCertificate of Waiver, Skilled nursing or nursing facility15D0861646
- Advanced Ambulatory Surgery CenterCertificate of Waiver, Ambulatory surgery center15D2022497
- Air-Evac 46Certificate of Waiver, Ambulance15D1087885
- American Medical ResponseCertificate of Waiver, Ambulance15D0683275
- American National Red Cross - Evansville, in, theCertificate of Waiver, Blood bank15D0361523
- Amg SV - Westside Crossing Walk-In CareCertificate of Waiver, Physician office15D0361576
- Aperion Care LincolnCertificate of Waiver, Skilled nursing or nursing facility15D2070494
- Ascension Medical Group DermatologyCertificate of Compliance, Physician office15D2108281
- Ascension Medical Group ST Vincent -Certificate of Waiver, Physician office15D2090743
- Ascension Medical Group ST Vincent - EvansvilleCertificate for Provider-Performed Microscopy Procedures, Physician office15D1043244
Related
Questions
What is the CLIA number for Clean Slate Centers in Evansville?
15D2139018, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Clean Slate Centers hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2139018 expire?
The CMS file lists October 29, 2027 as the certificate expiration date; the certificate took effect October 30, 2025.