CLIA lab
CLIA 15D2168775: Grand Brook Memory Care of Zionsville
Zionsville, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2168775 belongs to Grand Brook Memory Care of Zionsville in Zionsville, IN.
Certificate of Waiver, effective July 9, 2025, expires July 8, 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
- July 9, 2025
- Certificate expiration
- July 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 9, 2019
- Facility type
- Assisted living facility
- 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
- 15D2168775
- Lab name
- Grand Brook Memory Care of Zionsville
- Address
- 11870 Sandy Dr, Zionsville, IN 46077
- Phone
- (469) 331-8200
- Fax
- (469) 519-4151
Annual test volume the lab reported
- Waived tests
- 365
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Ascension Medical Group ST Vincent -Certificate for Provider-Performed Microscopy Procedures, Physician office15D1042086
- Ascension Medical Group ST Vincent -Certificate of Waiver, Physician office15D1044174
- Ascension Medical Group ST Vincent -ZionsvilleCertificate of Waiver, Physician office15D2157271
- Booth Dermatology Group, PCCertificate of Compliance, Physician office15D0691800
- Community Physicians of in, IncCertificate of Waiver, Physician office15D0874582
- Dawes Fretzin DermatologyCertificate for Provider-Performed Microscopy Procedures, Physician office15D2322570
- Dermatology Center of Indiana- ZionsvilleCertificate of Waiver, Physician office15D2070632
- Eternal Guardian Home Health CareCertificate of Waiver, Home health agency15D2327877
Related
Questions
What is the CLIA number for Grand Brook Memory Care of Zionsville in Zionsville?
15D2168775, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Brook Memory Care of Zionsville hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2168775 expire?
The CMS file lists July 8, 2027 as the certificate expiration date; the certificate took effect July 9, 2025.