34D2048699 CLIA NUMBER - BLUE RIDGE HEALTH - MERIDIAN BROADVIEW

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Laboratory Demographics

CLIA Number: 34D2048699

Facility Name: BLUE RIDGE HEALTH - MERIDIAN BROADVIEW

Facility Address:
307 BROADVIEW ROAD
WAYNESVILLE, NC
ZIP 28786
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Facility Phone Number: 828 492-0660

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1598432643

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	34D2048699
LAB Type	Physician Office
Facility Name	BLUE RIDGE HEALTH - MERIDIAN BROADVIEW
Street	307 BROADVIEW ROAD
City	WAYNESVILLE
State	NC
ZIP	28786
Phone	828 492-0660
CertificateType	4
CertificateEffectiveDate	10/22/2022
CertificateExpirationDate	10/21/2024
FacilityType	Waiver

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