CLIA lab
CLIA 15D2292739: Grounded Serpent Family Practice
Terre Haute, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2292739 belongs to Grounded Serpent Family Practice in Terre Haute, IN.
Certificate for Provider-Performed Microscopy Procedures, effective October 30, 2025, expires October 29, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- October 30, 2025
- Certificate expiration
- October 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 30, 2023
- Facility type
- Mobile lab
- 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
- 15D2292739
- Lab name
- Grounded Serpent Family Practice
- Address
- 1219 Ohio St, Terre Haute, IN 47807
- Phone
- (812) 228-4584
- Fax
- (812) 427-8149
Annual test volume the lab reported
- Waived tests
- 50
- Provider-performed microscopy tests
- 25
- Total
- 75
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- CSL Plasma, IncCertificate of Compliance, Other15D2165079
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- City of Terre Haute Fire DeptCertificate of Waiver, Ambulance15D2096799
Related
Questions
What is the CLIA number for Grounded Serpent Family Practice in Terre Haute?
15D2292739, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grounded Serpent Family Practice hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 15D2292739 expire?
The CMS file lists October 29, 2027 as the certificate expiration date; the certificate took effect October 30, 2025.