06D2252645 CLIA NUMBER - BLOOM HOSPICE

Laboratory Demographics

  • CLIA Code: 06D2252645
  • Facility Name: BLOOM HOSPICE
  • Facility Address: 12600 W COLFAX AVE, SUITE B-200
    LAKEWOOD, CO
    ZIP 80215
  • Facility Phone: (303) 459-4000
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: DR. SHANNON D. RYAN- CEBULA
  • NPI Number: 1093470684
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 06D2252645
LAB Type Hospice
Facility Name BLOOM HOSPICE
Street 12600 W COLFAX AVE, SUITE B-200
City LAKEWOOD
State CO
ZIP 80215
Phone 3034594000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/14/2026
Certificate Expiration Date 2/13/2028
Facility Type Hospice
Lab Director DR. SHANNON D. RYAN- CEBULA

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This page was last updated on: 5/18/2026