CLIA lab
CLIA 15D2313563: Icr Outpatient Operating Subsidiary, LLC
Terre Haute, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2313563 belongs to Icr Outpatient Operating Subsidiary, LLC in Terre Haute, IN.
Certificate of Waiver, effective November 4, 2024, expires November 3, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- November 4, 2024
- Certificate expiration
- November 3, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 4, 2024
- 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
- 15D2313563
- Lab name
- Icr Outpatient Operating Subsidiary, LLC
- Address
- 135 E Hospital Lane, Terre Haute, IN 47802
- 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.
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- Ambulance Management Services, LTDCertificate of Waiver, Ambulance15D2339451
- Anabranch Recovery CenterCertificate of Waiver, Other15D2286025
- Angels Care Home HealthCertificate of Waiver, Home health agency15D2145341
- Antwan Mardini MDCertificate of Waiver, Physician office15D2268360
- Biomat USA IncCertificate of Accreditation, Other15D1084786
- Bunkerhill Group HomeCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities15D2316959
- CSL Plasma, IncCertificate of Compliance, Other15D2165079
- Centerwell Home HealthCertificate of Waiver, Home health agency15D0968117
- City of Terre Haute Fire DeptCertificate of Waiver, Ambulance15D2096799
Related
Questions
What is the CLIA number for Icr Outpatient Operating Subsidiary, LLC in Terre Haute?
15D2313563, 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 15D2313563 expire?
The CMS file lists November 3, 2026 as the certificate expiration date; the certificate took effect November 4, 2024.