CLIA lab

CLIA 15D2276959: Boone County Jail

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

CLIA number 15D2276959 belongs to Boone County Jail in Lebanon, IN.

Certificate of Waiver, effective February 17, 2025, expires February 16, 2027.

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
February 17, 2025
Certificate expiration
February 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 17, 2023
Facility type
Other
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
15D2276959
Lab name
Boone County Jail
Address
1905 Indianapolis Ave, Lebanon, IN 46052
Phone
(423) 206-2002
Fax
(423) 305-6977

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.

Other labs in Lebanon, IN

Related

Questions

What is the CLIA number for Boone County Jail in Lebanon?

15D2276959, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Boone County Jail hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2276959 expire?

The CMS file lists February 16, 2027 as the certificate expiration date; the certificate took effect February 17, 2025.

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