CLIA lab

CLIA 10D2258774: Bloom Family Medicine PLLC

Melbourne, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D2258774 belongs to Bloom Family Medicine PLLC in Melbourne, FL.

Certificate of Waiver, effective April 27, 2026, expires April 26, 2028.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
April 27, 2026
Certificate expiration
April 26, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 27, 2022
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D2258774
Lab name
Bloom Family Medicine PLLC
Address
7341 Office Park Place Suite 202B, Melbourne, FL 32940
Phone
(302) 650-7961
Fax
(321) 622-5472

Annual test volume the lab reported

Waived tests
100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Bloom Family Medicine PLLC in Melbourne?

10D2258774, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bloom Family Medicine PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2258774 expire?

The CMS file lists April 26, 2028 as the certificate expiration date; the certificate took effect April 27, 2026.

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