CLIA lab

CLIA 15D2288475: Icr Outpatient Operating Subsidiary, LLC

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

CLIA number 15D2288475 belongs to Icr Outpatient Operating Subsidiary, LLC in Jeffersonville, IN.

Certificate of Waiver, effective August 25, 2025, expires August 24, 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
August 25, 2025
Certificate expiration
August 24, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 25, 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
15D2288475
Lab name
Icr Outpatient Operating Subsidiary, LLC
Address
601 North Shore Drive, Suite 102, Jeffersonville, IN 47130
Phone
(561) 307-1212
Fax
(561) 584-5833

Annual test volume the lab reported

Waived tests
3,000

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

Other labs in Jeffersonville, IN

Related

Questions

What is the CLIA number for Icr Outpatient Operating Subsidiary, LLC in Jeffersonville?

15D2288475, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Icr Outpatient Operating Subsidiary, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2288475 expire?

The CMS file lists August 24, 2027 as the certificate expiration date; the certificate took effect August 25, 2025.

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