CLIA lab
CLIA 15D2168981: Good Samaritan Hospital-Tbin
Princeton, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2168981 belongs to Good Samaritan Hospital-Tbin in Princeton, IN.
Certificate of Waiver, effective July 12, 2025, expires July 11, 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 12, 2025
- Certificate expiration
- July 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 12, 2019
- Facility type
- Physician office
- Ownership (control type)
- Government, county
- 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
- 15D2168981
- Lab name
- Good Samaritan Hospital-Tbin
- Address
- 1698 S 100 West, Princeton, IN 47670
- Phone
- (812) 253-7213
- Fax
- (812) 885-3737
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- DC at Work PrincetonCertificate of Waiver, Physician office15D2315955
- Deaconess Clinic /PrincetonCertificate of Waiver, Physician office15D0682961
- Deaconess Clinic Gibson Hospital Suite 2203 A -Certificate of Waiver, Physician office15D0361322
- Deaconess Gibson HospitalCertificate of Accreditation, Hospital15D0361330
- Deaconess Gibson Hospital- Multi SpecialtyCertificate for Provider-Performed Microscopy Procedures, Physician office15D2033351
- Deaconess Gibson Hospital/Family Medical CenterCertificate of Waiver, Community clinic15D2000190
- Deaconess Gibson Main StreetCertificate of Waiver, Physician office15D0361321
- Deaconess Procedure Center - GibsonCertificate of Waiver, Hospital15D2061559
- Deaconess Urgent Care PrincetonCertificate of Waiver, Physician office15D2146551
Related
Questions
What is the CLIA number for Good Samaritan Hospital-Tbin in Princeton?
15D2168981, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Good Samaritan Hospital-Tbin hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2168981 expire?
The CMS file lists July 11, 2027 as the certificate expiration date; the certificate took effect July 12, 2025.