15D2148859 CLIA NUMBER - EV BLOOMINGTON LIMITED PARTNERSHIP

Laboratory Demographics

  • CLIA Code: 15D2148859
  • Facility Name: EV BLOOMINGTON LIMITED PARTNERSHIP
  • Facility Address: 3607 S HEIRLOOM DR
    BLOOMINGTON, IN
    ZIP 47401
  • Facility Phone: 812 336-2718
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NICHOLE MCNALLY
  • NPI Number: 1881104289
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 15D2148859
LAB Type Assisted Living Facility
Facility Name EV BLOOMINGTON LIMITED PARTNERSHIP
Street 3607 S HEIRLOOM DR
City BLOOMINGTON
State IN
ZIP 47401
Phone 812 336-2718
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/21/2024
Certificate Expiration Date 5/20/2026
Facility Type Assisted Living Facility
Lab Director NICHOLE MCNALLY

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