15D0666702 CLIA NUMBER - FRESENIUS MEDICAL CARE BLOOMINGTON MONROE

Laboratory Demographics

  • CLIA Code: 15D0666702
  • Facility Name: FRESENIUS MEDICAL CARE BLOOMINGTON MONROE
  • Facility Address: 575 S PATTERSON DR
    BLOOMINGTON, IN
    ZIP 47403
  • Facility Phone: 812 333-5600
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. QIN WANG-JOY
  • NPI Number: 1497860241
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D0666702
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name FRESENIUS MEDICAL CARE BLOOMINGTON MONROE
Street 575 S PATTERSON DR
City BLOOMINGTON
State IN
ZIP 47403
Phone 812 333-5600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/26/2024
Certificate Expiration Date 6/25/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. QIN WANG-JOY

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