CLIA lab

CLIA 15D2350359: DC Family Medicine Dorbett Street

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

CLIA number 15D2350359 belongs to DC Family Medicine Dorbett Street in Jasper, IN.

Certificate for Provider-Performed Microscopy Procedures, effective September 9, 2026, expires September 8, 2028.

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 9, 2026
Certificate expiration
September 8, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 9, 2026
Facility type
Physician office
Ownership (control type)
Religious affiliation
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
15D2350359
Lab name
DC Family Medicine Dorbett Street
Address
1005 Dorbett Street, Jasper, IN 47546
Phone
(812) 996-8664
Fax
(812) 996-8444

Annual test volume the lab reported

Waived tests
1,000
Provider-performed microscopy tests
30
Total
1,030

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 DC Family Medicine Dorbett Street in Jasper?

15D2350359, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does DC Family Medicine Dorbett Street hold?

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

When does CLIA 15D2350359 expire?

The CMS file lists September 8, 2028 as the certificate expiration date; the certificate took effect September 9, 2026.

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