05D0945186 CLIA NUMBER - GENEVIEVE E BLOOM, MD

Laboratory Demographics

  • CLIA Code: 05D0945186
  • Facility Name: GENEVIEVE E BLOOM, MD
  • Facility Address: 1117 10TH STREET
    CORONADO, CA
    ZIP 92118
  • Facility Phone: 619 435-0268
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GENEVIEVE E. BLOOM
  • NPI Number: 1376537076
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 05D0945186
LAB Type Physician Office
Facility Name GENEVIEVE E BLOOM, MD
Street 1117 10TH STREET
City CORONADO
State CA
ZIP 92118
Phone 619 435-0268
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director GENEVIEVE E. BLOOM

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