CLIA lab

CLIA 15D2169841: John L Stafford MD LLC

Washington, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 15D2169841 belongs to John L Stafford MD LLC in Washington, IN.

Certificate of Waiver, effective July 29, 2025, expires July 28, 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 29, 2025
Certificate expiration
July 28, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 29, 2019
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
15D2169841
Lab name
John L Stafford MD LLC
Address
1401 Memorial Ave, Suite B, Washington, IN 47501
Phone
(812) 254-2400
Fax
(812) 254-3191

Annual test volume the lab reported

Waived tests
1,050

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for John L Stafford MD LLC in Washington?

15D2169841, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does John L Stafford MD LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2169841 expire?

The CMS file lists July 28, 2027 as the certificate expiration date; the certificate took effect July 29, 2025.

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