CLIA lab
CLIA 15D2314725: PMR Countrymark Clinic
Mount Vernon, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2314725 belongs to PMR Countrymark Clinic in Mount Vernon, IN.
Certificate of Waiver, effective November 26, 2024, expires November 25, 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 26, 2024
- Certificate expiration
- November 25, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 26, 2024
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2314725
- Lab name
- PMR Countrymark Clinic
- Address
- 405 Southwind Plaza, Mount Vernon, IN 47620
- Phone
- (317) 845-5974
- Fax
- (866) 823-3634
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mount Vernon, IN
- Ascension ST Vincent Tri State ClinicsCertificate of Waiver, Physician office15D2138239
- DRS Matthew Lee, Kyle Rapp, Kathryn Lee-KalschCertificate of Waiver, Physician office15D0671386
- Deaconess Clinic at Work MT VernonCertificate of Waiver, Physician office15D0713263
- James A Rice DO, LLCCertificate of Waiver, Physician office15D0883114
- Posey County EMSCertificate of Waiver, Ambulance15D2030517
Related
Questions
What is the CLIA number for PMR Countrymark Clinic in Mount Vernon?
15D2314725, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does PMR Countrymark Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2314725 expire?
The CMS file lists November 25, 2026 as the certificate expiration date; the certificate took effect November 26, 2024.