11D2294229 CLIA NUMBER - VERA WHOLE HEALTH

Laboratory Demographics

CLIA Number: 11D2294229

Facility Name: VERA WHOLE HEALTH

Facility Address:
1250 SCENIC HIGHWAY S, #1260
LAWRENCEVILLE, GA
ZIP 30045
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Facility Phone Number: 678 831-4800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1427732544

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	11D2294229
LAB Type	Physician Office
Facility Name	VERA WHOLE HEALTH
Street	1250 SCENIC HIGHWAY S, #1260
City	LAWRENCEVILLE
State	GA
ZIP	30045
Phone	678 831-4800
CertificateType	4
CertificateEffectiveDate	11/21/2023
CertificateExpirationDate	11/20/2025
FacilityType	Waiver

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