CLIA lab

CLIA 15D2317091: Ellen Group Home

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

CLIA number 15D2317091 belongs to Ellen Group Home in Terre Haute, IN.

Certificate of Waiver, effective January 16, 2025, expires January 15, 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
January 16, 2025
Certificate expiration
January 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 16, 2025
Facility type
Intermediate care facility for individuals with intellectual disabilities
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
15D2317091
Lab name
Ellen Group Home
Address
3214 W Ellen Dr, Terre Haute, IN 47802
Phone
(812) 234-3454
Fax
(812) 954-0424

Annual test volume the lab reported

Waived tests
1,000

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

Other labs in Terre Haute, IN

Related

Questions

What is the CLIA number for Ellen Group Home in Terre Haute?

15D2317091, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ellen Group Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2317091 expire?

The CMS file lists January 15, 2027 as the certificate expiration date; the certificate took effect January 16, 2025.

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