CLIA lab
CLIA 15D2168190: Villas of Holly Brook-Brazil
Brazil, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2168190 belongs to Villas of Holly Brook-Brazil in Brazil, IN.
Certificate of Waiver, effective June 24, 2025, expires June 23, 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
- June 24, 2025
- Certificate expiration
- June 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 24, 2019
- Facility type
- Assisted living facility
- 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
- 15D2168190
- Lab name
- Villas of Holly Brook-Brazil
- Address
- 1941 US Highway 40 West, Brazil, IN 47834
- Phone
- (812) 420-2188
- Fax
- (812) 420-2305
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Brazil Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office15D0933462
- Bright Soul Wellness CenterCertificate of Waiver, Physician office15D2283628
- Clay Co Health DepartmentCertificate of Waiver, Community clinic15D0670955
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- Elder's Journey Home CareCertificate of Waiver, Home health agency15D2143050
- Elevate Care ClinicCertificate of Waiver, Other practitioner15D2279560
Related
Questions
What is the CLIA number for Villas of Holly Brook-Brazil in Brazil?
15D2168190, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Villas of Holly Brook-Brazil hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2168190 expire?
The CMS file lists June 23, 2027 as the certificate expiration date; the certificate took effect June 24, 2025.