CLIA lab

CLIA 15D2148851: Gillum Facial Plastic Surgery-D/B/A Gillum Sinus &

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

CLIA number 15D2148851 belongs to Gillum Facial Plastic Surgery-D/B/A Gillum Sinus & in Marion, IN.

Certificate of Waiver, effective May 21, 2026, expires May 20, 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
May 21, 2026
Certificate expiration
May 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 21, 2018
Facility type
Physician office
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
15D2148851
Lab name
Gillum Facial Plastic Surgery-D/B/A Gillum Sinus &
Additional name
Allergy
Address
801 W Gardner Dr, Marion, IN 46952
Phone
(765) 651-4278
Fax
(765) 664-6445

Annual test volume the lab reported

Waived tests
125

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

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Related

Questions

What is the CLIA number for Gillum Facial Plastic Surgery-D/B/A Gillum Sinus & in Marion?

15D2148851, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Gillum Facial Plastic Surgery-D/B/A Gillum Sinus & hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2148851 expire?

The CMS file lists May 20, 2028 as the certificate expiration date; the certificate took effect May 21, 2026.

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