15D1002108 CLIA NUMBER - JOHN LABBAN MD

Laboratory Demographics

  • CLIA Code: 15D1002108
  • Facility Name: JOHN LABBAN MD
  • Facility Address: 2852 E BUICK CADILLAC BLVD
    BLOOMINGTON, IN
    ZIP 47401
  • Facility Phone: 812 334-0698
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOHN R. LABBAN
  • NPI Number: 1114005402
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 15D1002108
LAB Type Physician Office
Facility Name JOHN LABBAN MD
Street 2852 E BUICK CADILLAC BLVD
City BLOOMINGTON
State IN
ZIP 47401
Phone 812 334-0698
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2025
Certificate Expiration Date 3/1/2027
Facility Type Physician Office
Lab Director JOHN R. LABBAN

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