15D2051052 CLIA NUMBER - ELDER'S JOURNEY HOME CARE LLC

Laboratory Demographics

  • CLIA Code: 15D2051052
  • Facility Name: ELDER'S JOURNEY HOME CARE LLC
  • Facility Address: 4334 E 3RD ST SUITE 100
    BLOOMINGTON, IN
    ZIP 47401
  • Facility Phone: (812) 334-2389
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: ANN M. HARRISON
  • NPI Number: 1063757839
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 15D2051052
LAB Type Home Health Agency
Facility Name ELDER'S JOURNEY HOME CARE LLC
Street 4334 E 3RD ST SUITE 100
City BLOOMINGTON
State IN
ZIP 47401
Phone 8123342389
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Home Health Agency
Lab Director ANN M. HARRISON

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This page was last updated on: 5/15/2026