CLIA lab
CLIA 15D2149269: Premise Health of Indiana Medical, PC
North Vernon, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2149269 belongs to Premise Health of Indiana Medical, PC in North Vernon, IN.
Certificate of Waiver, effective May 30, 2026, expires May 29, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- May 30, 2026
- Certificate expiration
- May 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 30, 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
- 15D2149269
- Lab name
- Premise Health of Indiana Medical, PC
- Address
- 3765 State Hwy 3, North Vernon, IN 47265
- Phone
- (877) 685-5884
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in North Vernon, IN
- Ascension Medical Group ST Vincent -Certificate for Provider-Performed Microscopy Procedures, Physician office15D0886880
- Ascension ST Vincent JenningsCertificate of Accreditation, Hospital15D0686555
- Everside Health-Nvic ClinicCertificate of Waiver, Physician office15D2136801
- Fast Pace Medical Clinic, PLLCCertificate of Waiver, Physician office15D2242556
- Groups Recover TogetherCertificate of Waiver, Community clinic15D2142894
- Jennings Co EMSCertificate of Waiver, Ambulance15D2105526
- Jennings Co Health DeptCertificate of Waiver, Community clinic15D0691007
- Jennings County JailCertificate of Waiver, Other15D2310545
- Jennings County in JailCertificate of Waiver, Other15D2154256
- Jennings Heart CareCertificate of Waiver, Physician office15D2159687
Related
Questions
What is the CLIA number for Premise Health of Indiana Medical, PC in North Vernon?
15D2149269, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Premise Health of Indiana Medical, PC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2149269 expire?
The CMS file lists May 29, 2028 as the certificate expiration date; the certificate took effect May 30, 2026.