18D2266425 CLIA NUMBER - BRIGHTVIEW, LLC - SOMERSET, KY OFFICE

Laboratory Demographics

CLIA Number: 18D2266425

Facility Name: BRIGHTVIEW, LLC - SOMERSET, KY OFFICE

Facility Address:
30 MEDPARK SQUARE DRIVE, SUITES 2 & 3
SOMERSET, KY
ZIP 42503
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Facility Phone Number: 812 560-9523

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043937527

Taxonomy: 261QM2800X - Clinic/Center
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

CLIA Record

Field Name	Field Value
CLIA Number	18D2266425
LAB Type	Physician Office
Facility Name	BRIGHTVIEW, LLC - SOMERSET, KY OFFICE
Street	30 MEDPARK SQUARE DRIVE, SUITES 2 & 3
City	SOMERSET
State	KY
ZIP	42503
Phone	812 560-9523
CertificateType	4
CertificateEffectiveDate	8/10/2022
CertificateExpirationDate	8/9/2024
FacilityType	Waiver

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