14D2045872 CLIA NUMBER - ADVANCED WOMEN'S HEALTH CARE S C

Home > CLIA Lookup > 14D2045872

Laboratory Demographics

CLIA Number: 14D2045872

Facility Name: ADVANCED WOMEN'S HEALTH CARE S C

Facility Address:
2111 E OAKLAND AVE, STE B
BLOOMINGTON, IL
ZIP 61701
Get Directions

Facility Phone Number: 309 531-3012

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1376890426

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	14D2045872
LAB Type	Physician Office
Facility Name	ADVANCED WOMEN'S HEALTH CARE S C
Street	2111 E OAKLAND AVE, STE B
City	BLOOMINGTON
State	IL
ZIP	61701
Phone	309 531-3012
CertificateType	3
CertificateEffectiveDate	8/21/2022
CertificateExpirationDate	8/20/2024
FacilityType	PPMP

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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