CLIA lab
CLIA 15D2319989: SW Indiana Child Advocacy Center Coalition Medical
Jasper, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D2319989 belongs to SW Indiana Child Advocacy Center Coalition Medical in Jasper, IN.
Certificate of Waiver, effective March 11, 2025, expires March 10, 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
- March 11, 2025
- Certificate expiration
- March 10, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 11, 2025
- Facility type
- Other practitioner
- Ownership (control type)
- Private
- 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
- 15D2319989
- Lab name
- SW Indiana Child Advocacy Center Coalition Medical
- Additional name
- Clinic
- Address
- 505 West 5th Street, Jasper, IN 47546
- Phone
- (812) 559-0490
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Commonwealth Pain & SpineCertificate of Waiver, Physician office15D2150415
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- 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
Related
Questions
What is the CLIA number for SW Indiana Child Advocacy Center Coalition Medical in Jasper?
15D2319989, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does SW Indiana Child Advocacy Center Coalition Medical hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D2319989 expire?
The CMS file lists March 10, 2027 as the certificate expiration date; the certificate took effect March 11, 2025.