15D2322902 CLIA NUMBER - PDS GROUP LLC

Laboratory Demographics

  • CLIA Code: 15D2322902
  • Facility Name: PDS GROUP LLC
  • Facility Address: 2559 S ADDISYN LANE
    BLOOMINGTON, IN
    ZIP 47403
  • Facility Phone: 317 349-7680
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: JOHN D. HEFLIN
  • NPI Number: 1366122566
  • Taxonomy: 174H00000X - Health Educator

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CLIA Record

Field Name Field Value
CLIA Number 15D2322902
LAB Type Practitioner Other
Facility Name PDS GROUP LLC
Street 2559 S ADDISYN LANE
City BLOOMINGTON
State IN
ZIP 47403
Phone 317 349-7680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/29/2025
Certificate Expiration Date 4/28/2027
Facility Type Practitioner Other
Lab Director JOHN D. HEFLIN

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