34D2070521 CLIA NUMBER - BLUE MOUNTAIN MEDICINE

Laboratory Demographics

  • CLIA Code: 34D2070521
  • Facility Name: BLUE MOUNTAIN MEDICINE
  • Facility Address: 150 SOUTH CALDWELL STREET
    BREVARD, NC
    ZIP 28712
  • Facility Phone: 828 884-3115
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANTHONY FISHER
  • NPI Number: 1245669662
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 34D2070521
LAB Type Physician Office
Facility Name BLUE MOUNTAIN MEDICINE
Street 150 SOUTH CALDWELL STREET
City BREVARD
State NC
ZIP 28712
Phone 828 884-3115
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/18/2023
Certificate Expiration Date 12/17/2025
Facility Type Physician Office
Lab Director ANTHONY FISHER

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