11D2286634 CLIA NUMBER - HEART AND VASCULAR CARE

Laboratory Demographics

  • CLIA Code: 11D2286634
  • Facility Name: HEART AND VASCULAR CARE
  • Facility Address: 2855 OLD HWY 5 NORTH, SUITE 103
    BLUE RIDGE, GA
    ZIP 30513
  • Facility Phone: 678 513-2273
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIKRAM KHETPAL
  • NPI Number: 1740960434
  • Taxonomy: 163WC3500X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 11D2286634
LAB Type Physician Office
Facility Name HEART AND VASCULAR CARE
Street 2855 OLD HWY 5 NORTH, SUITE 103
City BLUE RIDGE
State GA
ZIP 30513
Phone 678 513-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2025
Certificate Expiration Date 8/1/2027
Facility Type Physician Office
Lab Director VIKRAM KHETPAL

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