14D0432272 CLIA NUMBER - OBSTETRICS AND GYNECOLOGY CARE ASSOCIATES S C

Laboratory Demographics

CLIA Number: 14D0432272

Facility Name: OBSTETRICS AND GYNECOLOGY CARE ASSOCIATES S C

Facility Address:
1414 WOODBINE RD
BLOOMINGTON, IL
ZIP 61704
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Facility Phone Number: 309 662-2273

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1932292521

Taxonomy: 207V00000X - Obstetrics & Gynecology
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

CLIA Record

Field Name	Field Value
CLIA Number	14D0432272
LAB Type	Physician Office
Facility Name	OBSTETRICS AND GYNECOLOGY CARE ASSOCIATES S C
Street	1414 WOODBINE RD
City	BLOOMINGTON
State	IL
ZIP	61704
Phone	309 662-2273
CertificateType	3
CertificateEffectiveDate	6/8/2023
CertificateExpirationDate	6/7/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024