05D2300143 CLIA NUMBER - BLOOM CA INVESTMENTS LLC

Laboratory Demographics

  • CLIA Code: 05D2300143
  • Facility Name: BLOOM CA INVESTMENTS LLC
  • Facility Address: 4809 LOWELL AVENUE
    LA CRESCENTA, CA
    ZIP 91214
  • Facility Phone: 818 405-1008
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Waiver
  • Lab Director: WILLIAM D. STANLEY
  • NPI Number: 1801662119
  • Taxonomy: 324500000X - Substance Abuse Rehabilitation Facility

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CLIA Record

Field Name Field Value
CLIA Number 05D2300143
LAB Type Ancillary Testing Site in Health Care Center
Facility Name BLOOM CA INVESTMENTS LLC
Street 4809 LOWELL AVENUE
City LA CRESCENTA
State CA
ZIP 91214
Phone 818 405-1008
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/5/2024
Certificate Expiration Date 3/4/2026
Facility Type Ancillary Testing Site in Health Care Center
Lab Director WILLIAM D. STANLEY

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