32D2160058 CLIA NUMBER - BLOOM AND GROW PEDIATRICS

Laboratory Demographics

CLIA Number: 32D2160058

Facility Name: BLOOM AND GROW PEDIATRICS

Facility Address:
1315 BURRO AVE
CLOUDCROFT, NM
ZIP 88317
Get Directions

Facility Phone Number: (575) 921-2318

Facility Type: OTHER PRACTITIONER

Certificate Type: Waiver

NPI Number: 1760956031

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	32D2160058
LAB Type	OTHER PRACTITIONER
Facility Name	BLOOM AND GROW PEDIATRICS
Street	1315 BURRO AVE
City	CLOUDCROFT
State	NM
ZIP	88317
Phone	(575) 921-2318

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 5/11/2023