CLIA lab
CLIA 15D2317402: 47th Street ICF
Jasper, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2317402 belongs to 47th Street ICF in Jasper, IN.
Certificate of Waiver, effective January 23, 2025, expires January 22, 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 23, 2025
- Certificate expiration
- January 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 23, 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
- 15D2317402
- Lab name
- 47th Street ICF
- Address
- 1480 W 47th Street, Jasper, IN 47546
- Phone
- (812) 254-0321
- Fax
- (866) 402-1291
Annual test volume the lab reported
- Waived tests
- 1,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jasper, IN
- Ann Paterson MDCertificate for Provider-Performed Microscopy Procedures, Physician office15D0961884
- Brookside Village Health & Living CenterCertificate of Waiver, Skilled nursing or nursing facility15D0999958
- Careatc Kimball International Health CenterCertificate of Waiver, Other15D2167850
- Cathedral Heatlh Care CenterCertificate of Waiver, Skilled nursing or nursing facility15D0894839
- Commonwealth Pain & SpineCertificate of Waiver, Physician office15D2150415
- DBA Serenity Spring Senior Living at NorthwoodCertificate of Waiver, Skilled nursing or nursing facility15D0361051
- DC Family Medicine Dorbett StreetCertificate for Provider-Performed Microscopy Procedures, Physician office15D2350359
- DC Jasper Family MedicineCertificate for Provider-Performed Microscopy Procedures, Physician office15D0940633
- DC Jasper PediatricsCertificate of Waiver, Physician office15D0361024
- DC Jasper Primary CareCertificate for Provider-Performed Microscopy Procedures, Physician office15D0361044
Related
Questions
What is the CLIA number for 47th Street ICF in Jasper?
15D2317402, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does 47th Street ICF hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2317402 expire?
The CMS file lists January 22, 2027 as the certificate expiration date; the certificate took effect January 23, 2025.