34D2129158 CLIA NUMBER - BLUE RIDGE COMMUNITY HEALTH SERVICES DBA RAINBOW PEDIATRICS

Laboratory Demographics

CLIA Number: 34D2129158

Facility Name: BLUE RIDGE COMMUNITY HEALTH SERVICES DBA RAINBOW PEDIATRICS

Facility Address:
110 CHADWICK SQUARE COURT #A
HENDERSONVILLE, NC
ZIP 28739
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Facility Phone Number: 828 698-8135

Facility Type: Federally Qualified Health Center

Certificate Type: Waiver

NPI Number: 1659300333

Taxonomy: 208200000X - Plastic Surgery
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

CLIA Record

Field Name Field Value
CLIA Number 34D2129158
LAB Type Federally Qualified Health Center
Facility Name BLUE RIDGE COMMUNITY HEALTH SERVICES DBA RAINBOW PEDIATRICS
Street 110 CHADWICK SQUARE COURT #A
City HENDERSONVILLE
State NC
ZIP 28739
Phone 828 698-8135
CertificateType 4
CertificateEffectiveDate 11/16/2022
CertificateExpirationDate 11/15/2024
FacilityType Waiver

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