15D2161030 CLIA NUMBER - MONROE HOSPITAL WOUND HEALING CENTER AND HYPERBARIC MEDICINE

Laboratory Demographics

  • CLIA Code: 15D2161030
  • Facility Name: MONROE HOSPITAL WOUND HEALING CENTER AND HYPERBARIC MEDICINE
  • Facility Address: 3205 W FULLERTON PIKE
    BLOOMINGTON, IN
    ZIP 47403
  • Facility Phone: 812 825-0756
  • Facility Type: Other - WOUND CARE CENTER
  • Facility Type: Waiver
  • Lab Director: KOMAL DHIRAN
  • NPI Number: 1164806444
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 15D2161030
LAB Type Other - WOUND CARE CENTER
Facility Name MONROE HOSPITAL WOUND HEALING CENTER AND HYPERBARIC MEDICINE
Street 3205 W FULLERTON PIKE
City BLOOMINGTON
State IN
ZIP 47403
Phone 812 825-0756
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/24/2025
Certificate Expiration Date 1/23/2027
Facility Type Other - WOUND CARE CENTER
Lab Director KOMAL DHIRAN

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