CLIA lab
CLIA 15D2182128: Proactive MD - Monticello
Monticello, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2182128 belongs to Proactive MD - Monticello in Monticello, IN.
Certificate of Waiver, effective April 16, 2026, expires April 15, 2028.
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
- April 16, 2026
- Certificate expiration
- April 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 16, 2020
- 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
- 15D2182128
- Lab name
- Proactive MD - Monticello
- Address
- 303 N Main St, Monticello, IN 47960
- Phone
- (574) 297-5527
- Fax
- (574) 808-4680
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- BD Trustees of Flavius J Witham Mem HospCertificate of Waiver, Skilled nursing or nursing facility15D2009004
- Hook-Superx, LLC DBA Cvs/Pharmacy #06535Certificate of Waiver, Pharmacy15D2283120
- Iu Health White Memorial HospitalCertificate of Accreditation, Hospital15D0362525
- Iuhmg Primary CareCertificate of Waiver, Physician office15D0919924
- Iuhmg Walk inCertificate of Waiver, Physician office15D2333152
- Kroger Pharmacy 138Certificate of Waiver, Pharmacy15D1077740
- Monticello HealthcareCertificate of Waiver, Skilled nursing or nursing facility15D0362521
- Polymer Science, IncCertificate of Waiver, Other15D2222480
- Tribbett Family Medicine, LLCCertificate of Waiver, Physician office15D2116076
- Walmart Pharmacy #10-2771Certificate of Waiver, Pharmacy15D2146295
Related
Questions
What is the CLIA number for Proactive MD - Monticello in Monticello?
15D2182128, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Proactive MD - Monticello hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2182128 expire?
The CMS file lists April 15, 2028 as the certificate expiration date; the certificate took effect April 16, 2026.