14D0432335 CLIA NUMBER - DANIEL A NORD MD OBSTETRICS AND GYNECOLOGY LLC

Laboratory Demographics

  • CLIA Code: 14D0432335
  • Facility Name: DANIEL A NORD MD OBSTETRICS AND GYNECOLOGY LLC
  • Facility Address: 1505 EASTLAND DR, STE 230
    BLOOMINGTON, IL
    ZIP 61701
  • Facility Phone: 309 663-8888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL W. NORD MD
  • NPI Number: 1336144955
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 14D0432335
LAB Type Physician Office
Facility Name DANIEL A NORD MD OBSTETRICS AND GYNECOLOGY LLC
Street 1505 EASTLAND DR, STE 230
City BLOOMINGTON
State IL
ZIP 61701
Phone 309 663-8888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/1/2023
Certificate Expiration Date 11/30/2025
Facility Type Physician Office
Lab Director DANIEL W. NORD MD

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This page was last updated on: 9/29/2025