15D0999167 CLIA NUMBER - STONE BELT ARC, INC

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CLIA Record

Field Name Field Value
CLIA Number 15D0999167
LAB Type Intermediate Care Facility for Mentally Retarded
Facility Name STONE BELT ARC, INC
Street 2815 E 10TH ST
City BLOOMINGTON
State IN
ZIP 47408
Phone 812 332-2168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2025
Certificate Expiration Date 1/7/2027
Facility Type Intermediate Care Facility for Mentally Retarded
Lab Director LESLIE K. GREEN

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