52D0396704 CLIA NUMBER - MAYO CLINIC HEALTH SYSTEM BLOOMER

Laboratory Demographics

CLIA Number: 52D0396704

Facility Name: MAYO CLINIC HEALTH SYSTEM BLOOMER

Facility Address:
1501 THOMPSON ST
BLOOMER, WI
ZIP 54724
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Facility Phone Number: 715 568-2000

Facility Type: Hospital

Certificate Type: Accreditation

NPI Number: 1548796444

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	52D0396704
LAB Type	Hospital
Facility Name	MAYO CLINIC HEALTH SYSTEM BLOOMER
Street	1501 THOMPSON ST
City	BLOOMER
State	WI
ZIP	54724
Phone	715 568-2000
CertificateType	1
CertificateEffectiveDate	1/3/2023
CertificateExpirationDate	1/2/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024