CLIA lab

CLIA 15D2170817: Clovis E Manley MD LLC

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

CLIA number 15D2170817 belongs to Clovis E Manley MD LLC in Newburgh, IN.

Certificate of Waiver, effective August 20, 2025, expires August 19, 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
August 20, 2025
Certificate expiration
August 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 20, 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
15D2170817
Lab name
Clovis E Manley MD LLC
Address
4943 Rosebud Lane, Newburgh, IN 47630
Phone
(812) 490-0475
Fax
(812) 490-0488

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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Related

Questions

What is the CLIA number for Clovis E Manley MD LLC in Newburgh?

15D2170817, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Clovis E Manley MD LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2170817 expire?

The CMS file lists August 19, 2027 as the certificate expiration date; the certificate took effect August 20, 2025.

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