31D2211980 CLIA NUMBER - BLOOMING HEALTH LLC

Laboratory Demographics

  • CLIA Code: 31D2211980
  • Facility Name: BLOOMING HEALTH LLC
  • Facility Address: 40 PARK AVE
    PARK RIDGE, NJ
    ZIP 07656
  • Facility Phone: 201 554-2200
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: AMGAD WASSEF
  • NPI Number: 1104596840
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 31D2211980
LAB Type Pharmacy
Facility Name BLOOMING HEALTH LLC
Street 40 PARK AVE
City PARK RIDGE
State NJ
ZIP 07656
Phone 201 554-2200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/2/2025
Certificate Expiration Date 2/1/2027
Facility Type Pharmacy
Lab Director AMGAD WASSEF

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