15D1063122 CLIA NUMBER - WENDY KINSEY CORNING MD LLC

Laboratory Demographics

  • CLIA Code: 15D1063122
  • Facility Name: WENDY KINSEY CORNING MD LLC
  • Facility Address: 383 PARK RIDGE RD STE 102
    BLOOMINGTON, IN
    ZIP 47401
  • Facility Phone: 812 330-5250
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: WENDY K. CORNING
  • NPI Number: 1982736062
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 15D1063122
LAB Type Physician Office
Facility Name WENDY KINSEY CORNING MD LLC
Street 383 PARK RIDGE RD STE 102
City BLOOMINGTON
State IN
ZIP 47401
Phone 812 330-5250
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 1/5/2025
Certificate Expiration Date 1/4/2027
Facility Type Physician Office
Lab Director WENDY K. CORNING

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