52D2103220 CLIA NUMBER - BLOOMER HEALTHCARE LLC D/B/A DOVE HEALTHCARE - BLOOMER

Laboratory Demographics

  • CLIA Code: 52D2103220
  • Facility Name: BLOOMER HEALTHCARE LLC D/B/A DOVE HEALTHCARE - BLOOMER
  • Facility Address: 2217 DUNCAN ROAD
    BLOOMER, WI
    ZIP 54724
  • Facility Phone: 715 568-9770
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JENI L. GREENWELL
  • NPI Number: 1245620475
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 52D2103220
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BLOOMER HEALTHCARE LLC D/B/A DOVE HEALTHCARE - BLOOMER
Street 2217 DUNCAN ROAD
City BLOOMER
State WI
ZIP 54724
Phone 715 568-9770
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JENI L. GREENWELL

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