23D2297870 CLIA NUMBER - BLOOM PEDIATRICS

Laboratory Demographics

  • CLIA Code: 23D2297870
  • Facility Name: BLOOM PEDIATRICS
  • Facility Address: 28625 NORTHWESTERN HWY SUITE 100
    SOUTHFIELD, MI
    ZIP 48034
  • Facility Phone: 248 645-1740
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ANNA R. GROEBE
  • NPI Number: 1043364680
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2297870
LAB Type Physician Office
Facility Name BLOOM PEDIATRICS
Street 28625 NORTHWESTERN HWY SUITE 100
City SOUTHFIELD
State MI
ZIP 48034
Phone 248 645-1740
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 4/21/2025
Certificate Expiration Date 4/20/2027
Facility Type Physician Office
Lab Director ANNA R. GROEBE

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