45D2130402 CLIA NUMBER - BLOOMMED, LLC

Laboratory Demographics

  • CLIA Code: 45D2130402
  • Facility Name: BLOOMMED, LLC
  • Facility Address: 8951 COLLIN-MCKINNEY PKWY SUITE 502
    MCKINNEY, TX
    ZIP 75070
  • Facility Phone: 972 214-8579
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHANIE L. CUDJOE
  • NPI Number: 1366133290
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D2130402
LAB Type Physician Office
Facility Name BLOOMMED, LLC
Street 8951 COLLIN-MCKINNEY PKWY SUITE 502
City MCKINNEY
State TX
ZIP 75070
Phone 972 214-8579
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/14/2024
Certificate Expiration Date 8/13/2026
Facility Type Physician Office
Lab Director STEPHANIE L. CUDJOE

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