CLIA lab
CLIA 15D2195221: Legacy Living Leasing Jasper,llc
Jasper, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2195221 belongs to Legacy Living Leasing Jasper,llc in Jasper, IN.
Certificate of Waiver, effective October 7, 2026, expires October 6, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 7, 2026
- Certificate expiration
- October 6, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 7, 2020
- Facility type
- Assisted living facility
- 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
- 15D2195221
- Lab name
- Legacy Living Leasing Jasper,llc
- Address
- 1850 W SR 56, Jasper, IN 47546
- Phone
- (812) 559-0200
- Fax
- (812) 559-0600
Annual test volume the lab reported
- Waived tests
- 13,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jasper, IN
- 47th Street ICFCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities15D2317402
- Ann Paterson MDCertificate for Provider-Performed Microscopy Procedures, Physician office15D0961884
- Brookside Village Health & Living CenterCertificate of Waiver, Skilled nursing or nursing facility15D0999958
- Careatc Kimball International Health CenterCertificate of Waiver, Other15D2167850
- Cathedral Heatlh Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0894839
- Commonwealth Pain & SpineCertificate of Waiver, Physician office15D2150415
- DBA Serenity Spring Senior Living at NorthwoodCertificate of Waiver, Skilled nursing or nursing facility15D0361051
- DC Family Medicine Dorbett StreetCertificate for Provider-Performed Microscopy Procedures, Physician office15D2350359
- DC Jasper Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office15D0940633
- DC Jasper PediatricsCertificate of Waiver, Physician office15D0361024
Related
Questions
What is the CLIA number for Legacy Living Leasing Jasper,llc in Jasper?
15D2195221, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Legacy Living Leasing Jasper,llc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2195221 expire?
The CMS file lists October 6, 2028 as the certificate expiration date; the certificate took effect October 7, 2026.