CLIA lab
CLIA 15D1020721: Bloomington Com Based Outpt Center
Bloomington, IN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 15D1020721 belongs to Bloomington Com Based Outpt Center in Bloomington, IN.
Certificate of Waiver, effective September 5, 2025, expires September 4, 2027.
Active in the CMS Provider of Services file posted October 16, 2026.
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 5, 2025
- Certificate expiration
- September 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 30, 2003
- Facility type
- Community clinic
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 15D1020721
- Lab name
- Bloomington Com Based Outpt Center
- Address
- 2100 Liberty Drive, Suite B, Bloomington, IN 47403
- Phone
- (812) 336-5723
- Fax
- (317) 988-5509
Annual test volume the lab reported
- Waived tests
- 5,830
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Bloomington, IN
- Amedisys Sp-In, LLC D/B/A Amedisys Home HealthCertificate of Waiver, Home health agency15D1052834
- Aperion Care MonroeCertificate of Waiver, Skilled nursing or nursing facility15D0360588
- Associates in Dermatology, PLLCCertificate for Provider-Performed Microscopy Procedures, Physician office15D2343412
- Biolife Plasma Services LPCertificate of Compliance, Other15D0689986
- Bloomington Advanced Surgery CenterCertificate of Waiver, Ambulatory surgery center15D2234916
- Bloomington Endoscopy CenterCertificate of Waiver, Ambulatory surgery center15D0982598
- Bloomington Meadows HospitalCertificate of Waiver, Hospital15D0865344
- Bloomington Regional Rehabilitation HospitalCertificate of Waiver, Hospital15D2235307
- Bloomington Surgery CenterCertificate of Waiver, Ambulatory surgery center15D0714939
- Bloomington VA ClinicCertificate of Accreditation, Community clinic15D2322464
Related
Questions
What is the CLIA number for Bloomington Com Based Outpt Center in Bloomington?
15D1020721, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bloomington Com Based Outpt Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 15D1020721 expire?
The CMS file lists September 4, 2027 as the certificate expiration date; the certificate took effect September 5, 2025.