14D1081721 CLIA NUMBER - PLANNED PARENTHOOD OF ILLINOIS - BLOOMINGTON

Laboratory Demographics

CLIA Number: 14D1081721

Facility Name: PLANNED PARENTHOOD OF ILLINOIS - BLOOMINGTON

Facility Address:
1319 N VETERANS PKWY
BLOOMINGTON, IL
ZIP 61704
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Facility Phone Number: (773) 942-7193

Facility Type: COMMUNITY CLINIC

Certificate Type: Microscopy

NPI Number: 1033526967

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	14D1081721
LAB Type	COMMUNITY CLINIC
Facility Name	PLANNED PARENTHOOD OF ILLINOIS - BLOOMINGTON
Street	1319 N VETERANS PKWY
City	BLOOMINGTON
State	IL
ZIP	61704
Phone	(773) 942-7193

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This page was last updated on: 5/11/2023