14D2147318 CLIA NUMBER - AMERICAN NATIONAL RED CROSS - BLOOMINGTON, IL, THE

Laboratory Demographics

  • CLIA Code: 14D2147318
  • Facility Name: AMERICAN NATIONAL RED CROSS - BLOOMINGTON, IL, THE
  • Facility Address: 1 WESTPORT CT
    BLOOMINGTON, IL
    ZIP 61704
  • Facility Phone: 309 636-4241
  • Facility Type: Other - BLOOD COLLECTION FACILITY
  • Facility Type: Waiver
  • Lab Director: GARY J. BACHOWSKI
  • NPI Number: 1508812215
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2147318
LAB Type Other - BLOOD COLLECTION FACILITY
Facility Name AMERICAN NATIONAL RED CROSS - BLOOMINGTON, IL, THE
Street 1 WESTPORT CT
City BLOOMINGTON
State IL
ZIP 61704
Phone 309 636-4241
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2024
Certificate Expiration Date 4/16/2026
Facility Type Other - BLOOD COLLECTION FACILITY
Lab Director GARY J. BACHOWSKI

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