CLIA lab

CLIA 15D2188631: Good Samaritan Hospital Physician

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

CLIA number 15D2188631 belongs to Good Samaritan Hospital Physician in Vincennes, IN.

Certificate of Waiver, effective July 20, 2026, expires July 19, 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
July 20, 2026
Certificate expiration
July 19, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
July 20, 2020
Facility type
Physician office
Ownership (control type)
Other
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
15D2188631
Lab name
Good Samaritan Hospital Physician
Additional name
Services (Wellness Matters)
Address
406 N 1st St Ste B, Vincennes, IN 47591
Phone
(812) 885-6968
Fax
(812) 885-3089

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 Good Samaritan Hospital Physician in Vincennes?

15D2188631, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Good Samaritan Hospital Physician hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2188631 expire?

The CMS file lists July 19, 2028 as the certificate expiration date; the certificate took effect July 20, 2026.

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