15D1093483 CLIA NUMBER - JOIE DE VIVRE LLC

Laboratory Demographics

  • CLIA Code: 15D1093483
  • Facility Name: JOIE DE VIVRE LLC
  • Facility Address: 1310 WEST BLOOMFIELD ROAD SUITE C
    BLOOMINGTON, IN
    ZIP 47403
  • Facility Phone: 812 334-2772
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: LISA J. HANNER-ROBINSON
  • NPI Number: 1003061409
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 15D1093483
LAB Type Physician Office
Facility Name JOIE DE VIVRE LLC
Street 1310 WEST BLOOMFIELD ROAD SUITE C
City BLOOMINGTON
State IN
ZIP 47403
Phone 812 334-2772
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 12/19/2024
Certificate Expiration Date 12/18/2026
Facility Type Physician Office
Lab Director LISA J. HANNER-ROBINSON

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