CLIA lab

CLIA 24D2350248: Bloom Holistic Health LLC

Spring Lake Park, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 24D2350248 belongs to Bloom Holistic Health LLC in Spring Lake Park, MN.

Certificate of Waiver, effective September 4, 2026, expires September 3, 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
September 4, 2026
Certificate expiration
September 3, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 4, 2026
Facility type
Other practitioner
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
24D2350248
Lab name
Bloom Holistic Health LLC
Address
8406 Sunset Rd NE, Spring Lake Park, MN 55432
Phone
(612) 293-6401
Fax
(651) 867-6237

Annual test volume the lab reported

Waived tests
500

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

Other labs in Spring Lake Park, MN

Related

Questions

What is the CLIA number for Bloom Holistic Health LLC in Spring Lake Park?

24D2350248, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bloom Holistic Health LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2350248 expire?

The CMS file lists September 3, 2028 as the certificate expiration date; the certificate took effect September 4, 2026.

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