11D2118782 CLIA NUMBER - BLUE RIDGE ASSISTED LIVING AND MEMORY CARE

Laboratory Demographics

  • CLIA Code: 11D2118782
  • Facility Name: BLUE RIDGE ASSISTED LIVING AND MEMORY CARE
  • Facility Address: 1600 BALLEWTOWN ROAD
    BLUE RIDGE, GA
    ZIP 30513
  • Facility Phone: 706 946-6000
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: ELIZABETH B. ZYLSTRA
  • NPI Number: 1972978401
  • Taxonomy: 363AM0700X - Physician Assistant

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CLIA Record

Field Name Field Value
CLIA Number 11D2118782
LAB Type Assisted Living Facility
Facility Name BLUE RIDGE ASSISTED LIVING AND MEMORY CARE
Street 1600 BALLEWTOWN ROAD
City BLUE RIDGE
State GA
ZIP 30513
Phone 706 946-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/14/2024
Certificate Expiration Date 9/13/2026
Facility Type Assisted Living Facility
Lab Director ELIZABETH B. ZYLSTRA

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