15D0913234 CLIA NUMBER - FAMILY ALLERGY & ASTHMA

Laboratory Demographics

  • CLIA Code: 15D0913234
  • Facility Name: FAMILY ALLERGY & ASTHMA
  • Facility Address: 487 S LANDMARK AVE
    BLOOMINGTON, IN
    ZIP 47403
  • Facility Phone: 502 429-8585
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DANIEL R. MCCORMACK
  • NPI Number: 1881785947
  • Taxonomy: 207K00000X - Allergy & Immunology

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CLIA Record

Field Name Field Value
CLIA Number 15D0913234
LAB Type Physician Office
Facility Name FAMILY ALLERGY & ASTHMA
Street 487 S LANDMARK AVE
City BLOOMINGTON
State IN
ZIP 47403
Phone 502 429-8585
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 3/26/2024
Certificate Expiration Date 3/25/2026
Facility Type Physician Office
Lab Director DANIEL R. MCCORMACK

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