14D2274608 CLIA NUMBER - APPLIED PAIN INSTITUTE, LLC

Laboratory Demographics

  • CLIA Code: 14D2274608
  • Facility Name: APPLIED PAIN INSTITUTE, LLC
  • Facility Address: 1015 S MERCER AVE
    BLOOMINGTON, IL
    ZIP 61701
  • Facility Phone: 309 662-0088
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JI LI
  • NPI Number: 1528233111
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 14D2274608
LAB Type Physician Office
Facility Name APPLIED PAIN INSTITUTE, LLC
Street 1015 S MERCER AVE
City BLOOMINGTON
State IL
ZIP 61701
Phone 309 662-0088
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/6/2025
Certificate Expiration Date 1/5/2027
Facility Type Physician Office
Lab Director JI LI

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