11D2234743 CLIA NUMBER - BLUE RIDGE PHARMACY

Laboratory Demographics

  • CLIA Code: 11D2234743
  • Facility Name: BLUE RIDGE PHARMACY
  • Facility Address: 6020 APPALACHIAN HIGHWAY
    BLUE RIDGE, GA
    ZIP 30513
  • Facility Phone: 706 632-2244
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: PAUL W. BRIGHT
  • NPI Number: 1609949924
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 11D2234743
LAB Type Pharmacy
Facility Name BLUE RIDGE PHARMACY
Street 6020 APPALACHIAN HIGHWAY
City BLUE RIDGE
State GA
ZIP 30513
Phone 706 632-2244
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2025
Certificate Expiration Date 9/1/2027
Facility Type Pharmacy
Lab Director PAUL W. BRIGHT

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