23D2277971 CLIA NUMBER - BLOOM HOSPICE, LLC

Laboratory Demographics

  • CLIA Code: 23D2277971
  • Facility Name: BLOOM HOSPICE, LLC
  • Facility Address: 5901 CHASE ROAD SUITE 210 A
    DEARBORN, MI
    ZIP 48126
  • Facility Phone: 313 644-2066
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: LISA DOUGAS
  • NPI Number: 1215691472
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 23D2277971
LAB Type Hospice
Facility Name BLOOM HOSPICE, LLC
Street 5901 CHASE ROAD SUITE 210 A
City DEARBORN
State MI
ZIP 48126
Phone 313 644-2066
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type Hospice
Lab Director LISA DOUGAS

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