15D0929264 CLIA NUMBER - SURGICARE

Laboratory Demographics

  • CLIA Code: 15D0929264
  • Facility Name: SURGICARE
  • Facility Address: 2907 MCINTIRE DR STE C
    BLOOMINGTON, IN
    ZIP 47403
  • Facility Phone: (812) 339-8000
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRIAN J. LOGUE
  • NPI Number: 1346210259
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 15D0929264
LAB Type Ambulatory Surgery Center
Facility Name SURGICARE
Street 2907 MCINTIRE DR STE C
City BLOOMINGTON
State IN
ZIP 47403
Phone 8123398000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/10/2025
Certificate Expiration Date 6/9/2027
Facility Type Ambulatory Surgery Center
Lab Director BRIAN J. LOGUE

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