15D1052834 CLIA NUMBER - AMEDISYS SP-IN, LLC D/B/A AMEDISYS HOME HEALTH

Laboratory Demographics

  • CLIA Code: 15D1052834
  • Facility Name: AMEDISYS SP-IN, LLC D/B/A AMEDISYS HOME HEALTH
  • Facility Address: 1332 WEST ARCH HAVEN AVE SUITE E
    BLOOMINGTON, IN
    ZIP 47403
  • Facility Phone: 812 333-7018
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: BRENDA DILE
  • NPI Number: 1003937269
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D1052834
LAB Type Home Health Agency
Facility Name AMEDISYS SP-IN, LLC D/B/A AMEDISYS HOME HEALTH
Street 1332 WEST ARCH HAVEN AVE SUITE E
City BLOOMINGTON
State IN
ZIP 47403
Phone 812 333-7018
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Home Health Agency
Lab Director BRENDA DILE

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