15D2145439 CLIA NUMBER - LIMESTONE HEALTH, LLC MEDMARK TREATMENT CENTERS BLOOMINGTON

Laboratory Demographics

  • CLIA Code: 15D2145439
  • Facility Name: LIMESTONE HEALTH, LLC MEDMARK TREATMENT CENTERS BLOOMINGTON
  • Facility Address: 2100 LIBERTY DR
    BLOOMINGTON, IN
    ZIP 47403
  • Facility Phone: 812 727-6700
  • Facility Type: Other - NARCOTIC TREATMENT PROGRA
  • Facility Type: Waiver
  • Lab Director: BRUCE THOMAS
  • NPI Number: 1902304447
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 15D2145439
LAB Type Other - NARCOTIC TREATMENT PROGRA
Facility Name LIMESTONE HEALTH, LLC MEDMARK TREATMENT CENTERS BLOOMINGTON
Street 2100 LIBERTY DR
City BLOOMINGTON
State IN
ZIP 47403
Phone 812 727-6700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/7/2024
Certificate Expiration Date 3/6/2026
Facility Type Other - NARCOTIC TREATMENT PROGRA
Lab Director BRUCE THOMAS

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