CLIA lab

CLIA 33D0866819: Scott P Bloom MD PC

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

CLIA number 33D0866819 belongs to Scott P Bloom MD PC in Jericho, NY.

Certificate of Waiver, effective March 21, 2025, expires March 20, 2027.

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
March 21, 2025
Certificate expiration
March 20, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
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
33D0866819
Lab name
Scott P Bloom MD PC
Address
380 North Broadway - Ste 307, Jericho, NY 11753
Phone
(516) 338-2900
Fax
(516) 338-2901

Annual test volume the lab reported

Waived tests
200

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

Other labs in Jericho, NY

Related

Questions

What is the CLIA number for Scott P Bloom MD PC in Jericho?

33D0866819, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Scott P Bloom MD PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 33D0866819 expire?

The CMS file lists March 20, 2027 as the certificate expiration date; the certificate took effect March 21, 2025.

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