CLIA lab
CLIA 42D2331784: Bloom Pediatrics
Fort Mill, SC. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 42D2331784 belongs to Bloom Pediatrics in Fort Mill, SC.
Certificate of Waiver, effective October 8, 2025, expires October 7, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 8, 2025
- Certificate expiration
- October 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 8, 2025
- 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
- 42D2331784
- Lab name
- Bloom Pediatrics
- Address
- 5529 Arden Mill Drive, Ste 101, Fort Mill, SC 29715
- Phone
- (808) 721-0179
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 Fort Mill, SC
- Advanced Dermatology of South CarolinaCertificate for Provider-Performed Microscopy Procedures, Physician office42D1059597
- Advanced Dermatology of South CarolinaCertificate of Accreditation, Physician office42D2279528
- Any Lab Test Now- Fort Mill, SCCertificate of Waiver, Other42D2214860
- Atrium Health Infusion Center- Fort MillCertificate of Waiver, Physician office42D2345317
- Atrium Health Primary Care Shiland Family MedcineCertificate of Compliance, Physician office42D1093061
- Broken To Better Urgent CareCertificate of Waiver, Physician office42D2312687
- CPN Inc Atrium Health Levine Children's PediatricCertificate of Registration, Physician office42D2336312
- CPN Inc DBA Atrium Health Women's Care PiedmontCertificate for Provider-Performed Microscopy Procedures, Physician office42D2280336
- CPN Inc DBA Atrium Health Womens' Care SouthpineCertificate for Provider-Performed Microscopy Procedures, Physician office42D2288927
- CPN Inc, DBA Atrium Health Levine Children's RockCertificate of Compliance, Physician office42D2280587
Related
Questions
What is the CLIA number for Bloom Pediatrics in Fort Mill?
42D2331784, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bloom Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 42D2331784 expire?
The CMS file lists October 7, 2027 as the certificate expiration date; the certificate took effect October 8, 2025.