14D2199485 CLIA NUMBER - BLUEZE, LLC

Laboratory Demographics

  • CLIA Code: 14D2199485
  • Facility Name: BLUEZE, LLC
  • Facility Address: 2412 E WASHINGTON
    BLOOMINGTON, IL
    ZIP 61704
  • Facility Phone: (309) 585-2116
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOEL R. NILLES
  • NPI Number: 1306371299
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 14D2199485
LAB Type Physician Office
Facility Name BLUEZE, LLC
Street 2412 E WASHINGTON
City BLOOMINGTON
State IL
ZIP 61704
Phone 3095852116
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/9/2024
Certificate Expiration Date 11/8/2026
Facility Type Physician Office
Lab Director JOEL R. NILLES

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: 5/18/2026