CLIA lab
CLIA 15D2170884: Ascension ST Vincent Tri State Clinics
Boonville, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2170884 belongs to Ascension ST Vincent Tri State Clinics in Boonville, IN.
Certificate of Waiver, effective August 21, 2025, expires August 20, 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 21, 2025
- Certificate expiration
- August 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 21, 2019
- Facility type
- Physician office
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 22
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2170884
- Lab name
- Ascension ST Vincent Tri State Clinics
- Address
- 3277 Liberty Blvd, Boonville, IN 47601
- Phone
- (888) 492-8722
- Fax
- (812) 491-0033
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.
Affiliated CLIA numbers
Other labs in Boonville, IN
- Ascension Medical Group Peds WarrickCertificate of Waiver, Physician office15D2212293
- Ascension Medical Group ST Vincent - Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office15D1080714
- Ascension ST Vincent WarrickCertificate of Accreditation, Hospital15D0035547
- Ascension ST Vincent Warrick Medication ManagementCertificate of Waiver, Ancillary test site15D2314105
- Deaconess Clinic Boonville Attn Haley BuckCertificate of Waiver, Physician office15D2066066
- Deaconess Clinic at Work BoonvilleCertificate of Waiver, Physician office15D2144696
- Qcc/Warrick County JailCertificate of Waiver, Other15D2203537
- ST Mary's Warrick Emergency Med SVCCertificate of Waiver, Ambulance15D1053773
- ST Vincent Warrick HospitalCertificate of Waiver, Hospital15D2145770
- ST Vincent Warrick WicCertificate of Waiver, Community clinic15D0933121
Related
Questions
What is the CLIA number for Ascension ST Vincent Tri State Clinics in Boonville?
15D2170884, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ascension ST Vincent Tri State Clinics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2170884 expire?
The CMS file lists August 20, 2027 as the certificate expiration date; the certificate took effect August 21, 2025.