45D2201601 CLIA NUMBER - BLOOM GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 45D2201601
  • Facility Name: BLOOM GYNECOLOGY
  • Facility Address: 450 HAWKINS RUN RD
    MIDLOTHIAN, TX
    ZIP 76065
  • Facility Phone: 682 900-1040
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SARA C. NORTHTHROP
  • NPI Number: 1073129458
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 45D2201601
LAB Type Physician Office
Facility Name BLOOM GYNECOLOGY
Street 450 HAWKINS RUN RD
City MIDLOTHIAN
State TX
ZIP 76065
Phone 682 900-1040
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Physician Office
Lab Director SARA C. NORTHTHROP

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