10D2094806 CLIA NUMBER - MICHAEL A BLUM DO

Laboratory Demographics

  • CLIA Code: 10D2094806
  • Facility Name: MICHAEL A BLUM DO
  • Facility Address: 1111 SE FEDERAL HIGHWAY, SUITE 330
    STUART, FL
    ZIP 34994
  • Facility Phone: 772 249-0260
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JESSICA HENKE
  • NPI Number: 1922082965
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2094806
LAB Type Physician Office
Facility Name MICHAEL A BLUM DO
Street 1111 SE FEDERAL HIGHWAY, SUITE 330
City STUART
State FL
ZIP 34994
Phone 772 249-0260
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/23/2025
Certificate Expiration Date 4/22/2027
Facility Type Physician Office
Lab Director JESSICA HENKE

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