CLIA lab

CLIA 15D2327058: Flourish Functional Medicine Clinic

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

CLIA number 15D2327058 belongs to Flourish Functional Medicine Clinic in Middlebury, IN.

Certificate of Waiver, effective July 15, 2025, expires July 14, 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
July 15, 2025
Certificate expiration
July 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 15, 2025
Facility type
Other practitioner
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
15D2327058
Lab name
Flourish Functional Medicine Clinic
Address
516 S Main Street, Middlebury, IN 46540
Phone
(574) 361-7518
Fax
(574) 821-7066

Annual test volume the lab reported

Waived tests
100

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

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Related

Questions

What is the CLIA number for Flourish Functional Medicine Clinic in Middlebury?

15D2327058, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Flourish Functional Medicine Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 15D2327058 expire?

The CMS file lists July 14, 2027 as the certificate expiration date; the certificate took effect July 15, 2025.

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