CLIA lab
CLIA 15D2171937: Old Dominion Targetcare Health Clinic
Indianapolis, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2171937 belongs to Old Dominion Targetcare Health Clinic in Indianapolis, IN.
Certificate of Waiver, effective September 11, 2025, expires September 10, 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
- September 11, 2025
- Certificate expiration
- September 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 11, 2019
- Facility type
- Other
- 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
- 15D2171937
- Lab name
- Old Dominion Targetcare Health Clinic
- Address
- 3915 W Morris St, Indianapolis, IN 46241
- Phone
- (317) 481-8100
Annual test volume the lab reported
- Waived tests
- 500
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 Old Dominion Targetcare Health Clinic in Indianapolis?
15D2171937, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Old Dominion Targetcare Health Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2171937 expire?
The CMS file lists September 10, 2027 as the certificate expiration date; the certificate took effect September 11, 2025.