03D0530448 CLIA NUMBER - ROBERT J BLOOMBERG MD PHD

Laboratory Demographics

  • CLIA Code: 03D0530448
  • Facility Name: ROBERT J BLOOMBERG MD PHD
  • Facility Address: 6301 S MCCLINTOCK DR, #201
    TEMPE, AZ
    ZIP 85283
  • Facility Phone: 480 838-3100
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT J. BLOOMBERG
  • NPI Number: 1952375362
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 03D0530448
LAB Type Physician Office
Facility Name ROBERT J BLOOMBERG MD PHD
Street 6301 S MCCLINTOCK DR, #201
City TEMPE
State AZ
ZIP 85283
Phone 480 838-3100
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/3/2024
Certificate Expiration Date 2/2/2026
Facility Type Physician Office
Lab Director ROBERT J. BLOOMBERG

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