11D1016550 CLIA NUMBER - HIGH MOUNTAIN HEALTHCARE LLC

Laboratory Demographics

  • CLIA Code: 11D1016550
  • Facility Name: HIGH MOUNTAIN HEALTHCARE LLC
  • Facility Address: 63 PLEASANT HILL ROAD
    BLAIRSVILLE, GA
    ZIP 30512
  • Facility Phone: 706 745-2229
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TERESA M. BRADFORD
  • NPI Number: 1245255215
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 11D1016550
LAB Type Physician Office
Facility Name HIGH MOUNTAIN HEALTHCARE LLC
Street 63 PLEASANT HILL ROAD
City BLAIRSVILLE
State GA
ZIP 30512
Phone 706 745-2229
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 Physician Office
Lab Director DR. TERESA M. BRADFORD

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