CLIA lab

CLIA 15D2268360: Antwan Mardini MD

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

CLIA number 15D2268360 belongs to Antwan Mardini MD in Terre Haute, IN.

Certificate of Waiver, effective September 9, 2026, expires September 8, 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
September 9, 2026
Certificate expiration
September 8, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 9, 2022
Facility type
Physician office
Ownership (control type)
Private
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
15D2268360
Lab name
Antwan Mardini MD
Address
1530 N 7th St, Suite 111, Terre Haute, IN 47807
Phone
(812) 232-9663
Fax
(812) 232-2980

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 Antwan Mardini MD in Terre Haute?

15D2268360, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Antwan Mardini MD hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2268360 expire?

The CMS file lists September 8, 2028 as the certificate expiration date; the certificate took effect September 9, 2026.

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