03D2087820 CLIA NUMBER - BLOOM REPRODUCTIVE INSTITUTE, PLLC

Laboratory Demographics

  • CLIA Code: 03D2087820
  • Facility Name: BLOOM REPRODUCTIVE INSTITUTE, PLLC
  • Facility Address: 8415 N PIMA RD, STE 290
    SCOTTSDALE, AZ
    ZIP 85258
  • Facility Phone: 480 434-6565
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MILLIE A. BEHERA
  • NPI Number: 1588060875
  • Taxonomy: 207VE0102X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 03D2087820
LAB Type Physician Office
Facility Name BLOOM REPRODUCTIVE INSTITUTE, PLLC
Street 8415 N PIMA RD, STE 290
City SCOTTSDALE
State AZ
ZIP 85258
Phone 480 434-6565
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/16/2024
Certificate Expiration Date 3/15/2026
Facility Type Physician Office
Lab Director MILLIE A. BEHERA

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