32D0674385 CLIA NUMBER - BLOOMFIELD NURSING AND REHABILITATION

Laboratory Demographics

  • CLIA Code: 32D0674385
  • Facility Name: BLOOMFIELD NURSING AND REHABILITATION
  • Facility Address: 803 HACIENDA LANE
    BLOOMFIELD, NM
    ZIP 87413
  • Facility Phone: 505 632-1823
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: PAUL REID
  • NPI Number: 1598964223
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 32D0674385
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BLOOMFIELD NURSING AND REHABILITATION
Street 803 HACIENDA LANE
City BLOOMFIELD
State NM
ZIP 87413
Phone 505 632-1823
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director PAUL REID

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