CLIA lab
CLIA 15D2317222: Hickory Treatment Center at Gosport
Gosport, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2317222 belongs to Hickory Treatment Center at Gosport in Gosport, IN.
Certificate of Waiver, effective January 21, 2025, expires January 20, 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 21, 2025
- Certificate expiration
- January 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 21, 2025
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D2317222
- Lab name
- Hickory Treatment Center at Gosport
- Address
- 27 S Seventh Street, Gosport, IN 47433
- Phone
- (314) 258-1037
- Fax
- (317) 324-3811
Annual test volume the lab reported
- Waived tests
- 2,800
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Gosport, IN
Related
Questions
What is the CLIA number for Hickory Treatment Center at Gosport in Gosport?
15D2317222, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hickory Treatment Center at Gosport hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2317222 expire?
The CMS file lists January 20, 2027 as the certificate expiration date; the certificate took effect January 21, 2025.