44D2307455 CLIA NUMBER - INBLOOM, LLC

Laboratory Demographics

  • CLIA Code: 44D2307455
  • Facility Name: INBLOOM, LLC
  • Facility Address: 1185 BRAYSTONE TRAIL
    COLLIERVILLE, TN
    ZIP 38017
  • Facility Phone: 901 245-0199
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: ANDREA E. WILLIAMS
  • NPI Number: 1972345205
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 44D2307455
LAB Type Mobile Laboratory
Facility Name INBLOOM, LLC
Street 1185 BRAYSTONE TRAIL
City COLLIERVILLE
State TN
ZIP 38017
Phone 901 245-0199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2024
Certificate Expiration Date 7/8/2026
Facility Type Mobile Laboratory
Lab Director ANDREA E. WILLIAMS

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