09D2122840 CLIA NUMBER - BLOOM OB/GYN

Laboratory Demographics

  • CLIA Code: 09D2122840
  • Facility Name: BLOOM OB/GYN
  • Facility Address: 4001 BRANDYWINE STREET NW SUITE 300
    WASHINGTON, DC
    ZIP 20016
  • Facility Phone: (202) 449-9570
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. JOAN E. LOVELAND
  • NPI Number: 1093168809
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 09D2122840
LAB Type Physician Office
Facility Name BLOOM OB/GYN
Street 4001 BRANDYWINE STREET NW SUITE 300
City WASHINGTON
State DC
ZIP 20016
Phone 2024499570
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/7/2024
Certificate Expiration Date 12/6/2026
Facility Type Physician Office
Lab Director DR. JOAN E. LOVELAND

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