34D2266680 CLIA NUMBER - BLOOM PEDIATRIC PARTNERS PLLC

Laboratory Demographics

  • CLIA Code: 34D2266680
  • Facility Name: BLOOM PEDIATRIC PARTNERS PLLC
  • Facility Address: 612 N BROAD ST E
    ANGIER, NC
    ZIP 27501
  • Facility Phone: 984 999-3957
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MELINDA L. BEAVERS
  • NPI Number: 1922737923
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 34D2266680
LAB Type Physician Office
Facility Name BLOOM PEDIATRIC PARTNERS PLLC
Street 612 N BROAD ST E
City ANGIER
State NC
ZIP 27501
Phone 984 999-3957
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/15/2024
Certificate Expiration Date 8/14/2026
Facility Type Physician Office
Lab Director MELINDA L. BEAVERS

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