14D2173863 CLIA NUMBER - BLOOMINGTON VA CLINIC

Laboratory Demographics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2173863
LAB Type Community Clinic
Facility Name BLOOMINGTON VA CLINIC
Street 207 HAMILTON ROAD
City BLOOMINGTON
State IL
ZIP 61704
Phone 309 827-3374
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 10/21/2019
Certificate Expiration Date 5/22/2026
Facility Type Community Clinic
Lab Director DOROTHY KURYLO

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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