CLIA lab
CLIA 15D2274044: Goshen Physicians Jayco Family Care
Middlebury, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2274044 belongs to Goshen Physicians Jayco Family Care in Middlebury, IN.
Certificate of Waiver, effective December 22, 2024, expires December 21, 2026.
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
- December 22, 2024
- Certificate expiration
- December 21, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 22, 2022
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2274044
- Lab name
- Goshen Physicians Jayco Family Care
- Address
- 109 W US 20, Middlebury, IN 46540
- Phone
- (574) 825-4585
- Fax
- (574) 825-4586
Annual test volume the lab reported
- Waived tests
- 350
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Middlebury, IN
- Beacon Med GRP - MiddleburyCertificate of Waiver, Physician office15D0356768
- Beacon Occupational Health, LLCCertificate of Waiver, Other15D2070533
- Dayspring Christian Health CenterCertificate of Waiver, Physician office15D1030171
- Firefly Home Health LLCCertificate of Waiver, Home health agency15D2128483
- Flourish Functional Medicine ClinicCertificate of Waiver, Other practitioner15D2327058
- Inhouse Physicians - Middlebury - LozierCertificate of Waiver, Industrial15D2163598
- Middlebury Community Schools Health ClinicCertificate of Waiver, Physician office15D2303384
- Middlebury Family Health CareCertificate for Provider-Performed Microscopy Procedures, Physician office15D0975324
- Onsite Innovations LLC at WinnebagoCertificate of Waiver, Physician office15D2309805
- Orthopedic & Sports Medicine Center of NorthernCertificate of Waiver, Physician office15D2024574
Related
Questions
What is the CLIA number for Goshen Physicians Jayco Family Care in Middlebury?
15D2274044, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Goshen Physicians Jayco Family Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2274044 expire?
The CMS file lists December 21, 2026 as the certificate expiration date; the certificate took effect December 22, 2024.