CLIA lab
CLIA 15D2160575: Goshen Physicains Family Medicine Bristol
Bristol, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2160575 belongs to Goshen Physicains Family Medicine Bristol in Bristol, IN.
Certificate for Provider-Performed Microscopy Procedures, effective January 14, 2025, expires January 13, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- January 14, 2025
- Certificate expiration
- January 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 14, 2019
- Facility type
- Physician office
- 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
- 15D2160575
- Lab name
- Goshen Physicains Family Medicine Bristol
- Address
- 304 East Vistula Street, Bristol, IN 46507
- Phone
- (574) 848-4039
- Fax
- (574) 848-4076
Annual test volume the lab reported
- Waived tests
- 100
- Provider-performed microscopy tests
- 50
- Total
- 150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Beacon Medical Group BristolCertificate of Waiver, Health maintenance organization15D0712697
- Bristol Fire DepartmentCertificate of Waiver, Other15D0944647
- Onsite Innovations LLC at WinnebagoCertificate of Waiver, Industrial15D2309806
- Robert Weed Worksite Clinic/BeaconCertificate of Waiver, Other practitioner15D2159917
Related
Questions
What is the CLIA number for Goshen Physicains Family Medicine Bristol in Bristol?
15D2160575, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Goshen Physicains Family Medicine Bristol hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 15D2160575 expire?
The CMS file lists January 13, 2027 as the certificate expiration date; the certificate took effect January 14, 2025.