CLIA lab

CLIA 15D2329703: Good Samaritan Family Practice 130

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

CLIA number 15D2329703 belongs to Good Samaritan Family Practice 130 in Vincennes, IN.

Certificate for Provider-Performed Microscopy Procedures, effective September 4, 2025, expires September 3, 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 for Provider-Performed Microscopy Procedures
Certificate effective
September 4, 2025
Certificate expiration
September 3, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 4, 2025
Facility type
Physician office
Ownership (control type)
Other
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
15D2329703
Lab name
Good Samaritan Family Practice 130
Address
615 Dubois St, Vincennes, IN 47591
Phone
(812) 885-8980
Fax
(812) 885-8981

Annual test volume the lab reported

Waived tests
500
Provider-performed microscopy tests
150
Total
650

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 Good Samaritan Family Practice 130 in Vincennes?

15D2329703, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Good Samaritan Family Practice 130 hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 15D2329703 expire?

The CMS file lists September 3, 2027 as the certificate expiration date; the certificate took effect September 4, 2025.

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