15D0951261 CLIA NUMBER - LIFESPAN HOME HEALTH LLC

Laboratory Demographics

  • CLIA Code: 15D0951261
  • Facility Name: LIFESPAN HOME HEALTH LLC
  • Facility Address: 800 BELL TRACE CIR
    BLOOMINGTON, IN
    ZIP 47408
  • Facility Phone: 812 332-2355
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNA CONTRERAS
  • NPI Number: 1427018639
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D0951261
LAB Type Physician Office
Facility Name LIFESPAN HOME HEALTH LLC
Street 800 BELL TRACE CIR
City BLOOMINGTON
State IN
ZIP 47408
Phone 812 332-2355
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Physician Office
Lab Director ANNA CONTRERAS

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