11D2123666 CLIA NUMBER - RIDGEVIEW INSTITUTE - MONROE

Laboratory Demographics

CLIA Number: 11D2123666

Facility Name: RIDGEVIEW INSTITUTE - MONROE

Facility Address:
709 BREEDLOVE DRIVE
MONROE, GA
ZIP 30655
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Facility Phone Number: 678 635-3500

Facility Type: Hospital

Certificate Type: Waiver

NPI Number: 1073069944

Taxonomy: 283Q00000X - Psychiatric Hospital
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

CLIA Record

Field Name	Field Value
CLIA Number	11D2123666
LAB Type	Hospital
Facility Name	RIDGEVIEW INSTITUTE - MONROE
Street	709 BREEDLOVE DRIVE
City	MONROE
State	GA
ZIP	30655
Phone	678 635-3500
CertificateType	4
CertificateEffectiveDate	12/28/2022
CertificateExpirationDate	12/27/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024