06D2311994 CLIA NUMBER - BLOOM HEALTHCARE

Laboratory Demographics

  • CLIA Code: 06D2311994
  • Facility Name: BLOOM HEALTHCARE
  • Facility Address: 12600 W COLFAX AVE, SUITE B-200
    LAKEWOOD, CO
    ZIP 80215
  • Facility Phone: 303 993-1330
  • Facility Type: Other - HOME BASED PRIMARY
  • Facility Type: Waiver
  • Lab Director: DANIELLE A. WHITACRE
  • NPI Number: 1982175311
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 06D2311994
LAB Type Other - HOME BASED PRIMARY
Facility Name BLOOM HEALTHCARE
Street 12600 W COLFAX AVE, SUITE B-200
City LAKEWOOD
State CO
ZIP 80215
Phone 303 993-1330
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Other - HOME BASED PRIMARY
Lab Director DANIELLE A. WHITACRE

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