15D1057386 CLIA NUMBER - PRIME HEALTHCARE SVCS-MONROE, LLC

Laboratory Demographics

CLIA Number: 15D1057386

Facility Name: PRIME HEALTHCARE SVCS-MONROE, LLC

Facility Address:
4011 S MONROE MED PARK BLVD
BLOOMINGTON, IN
ZIP 47403
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Facility Phone Number: 812 825-0819

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1740686443

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name	Field Value
CLIA Number	15D1057386
LAB Type	Hospital
Facility Name	PRIME HEALTHCARE SVCS-MONROE, LLC
Street	4011 S MONROE MED PARK BLVD
City	BLOOMINGTON
State	IN
ZIP	47403
Phone	812 825-0819
CertificateType	1
CertificateEffectiveDate	6/24/2022
CertificateExpirationDate	6/23/2024
FacilityType	Accreditation

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This page was last updated on: 4/23/2024