14D2007228 CLIA NUMBER - BLOOMINGTON PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 14D2007228
  • Facility Name: BLOOMINGTON PRIMARY CARE
  • Facility Address: 9 HEARTLAND DR, STE C
    BLOOMINGTON, IL
    ZIP 61704
  • Facility Phone: 309 663-7642
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: STEPHEN C. PILCHER
  • NPI Number: 1689991929
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2007228
LAB Type Physician Office
Facility Name BLOOMINGTON PRIMARY CARE
Street 9 HEARTLAND DR, STE C
City BLOOMINGTON
State IL
ZIP 61704
Phone 309 663-7642
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/21/2024
Certificate Expiration Date 1/20/2026
Facility Type Physician Office
Lab Director STEPHEN C. PILCHER

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