14D2117837 CLIA NUMBER - BLOOMINGTON NORMAL BIRTHING CENTER

Laboratory Demographics

  • CLIA Code: 14D2117837
  • Facility Name: BLOOMINGTON NORMAL BIRTHING CENTER
  • Facility Address: 6 WESTPORT CT
    BLOOMINGTON, IL
    ZIP 61704
  • Facility Phone: 309 722-4020
  • Facility Type: Other - BIRTH CENTER
  • Facility Type: Microscopy
  • Lab Director: BAMIDELE OGUNLEYE MD
  • NPI Number: 1124669015
  • Taxonomy: 367A00000X - Advanced Practice Midwife

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CLIA Record

Field Name Field Value
CLIA Number 14D2117837
LAB Type Other - BIRTH CENTER
Facility Name BLOOMINGTON NORMAL BIRTHING CENTER
Street 6 WESTPORT CT
City BLOOMINGTON
State IL
ZIP 61704
Phone 309 722-4020
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 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Other - BIRTH CENTER
Lab Director BAMIDELE OGUNLEYE MD

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