14D2070522 CLIA NUMBER - OSF MULTI-SPECIALTY GROUP - BLOOMINGTON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 14D2070522
  • Facility Name: OSF MULTI-SPECIALTY GROUP - BLOOMINGTON PEDIATRICS
  • Facility Address: 302 ST JOSEPH DR
    BLOOMINGTON, IL
    ZIP 61701
  • Facility Phone: 309 664-3100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN P. TRAINOR
  • NPI Number: 1871050237
  • Taxonomy: 332900000X - Non-Pharmacy Dispensing Site

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CLIA Record

Field Name Field Value
CLIA Number 14D2070522
LAB Type Physician Office
Facility Name OSF MULTI-SPECIALTY GROUP - BLOOMINGTON PEDIATRICS
Street 302 ST JOSEPH DR
City BLOOMINGTON
State IL
ZIP 61701
Phone 309 664-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director STEPHEN P. TRAINOR

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This page was last updated on: 6/4/2025