CLIA lab

CLIA 15D2196609: Valley Pharmacy

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

CLIA number 15D2196609 belongs to Valley Pharmacy in Demotte, IN.

Certificate of Waiver, effective October 19, 2026, expires October 18, 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
October 19, 2026
Certificate expiration
October 18, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 19, 2020
Facility type
Pharmacy
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
15D2196609
Lab name
Valley Pharmacy
Address
325 A N Halleck St, Demotte, IN 46310
Phone
(219) 987-3330
Fax
(219) 987-3331

Annual test volume the lab reported

Waived tests
150

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Demotte, IN

Related

Questions

What is the CLIA number for Valley Pharmacy in Demotte?

15D2196609, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Valley Pharmacy hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2196609 expire?

The CMS file lists October 18, 2028 as the certificate expiration date; the certificate took effect October 19, 2026.

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