36D2113720 CLIA NUMBER - BLUERIDGE VISTA HEALTH & WELLNESS

Laboratory Demographics

  • CLIA Code: 36D2113720
  • Facility Name: BLUERIDGE VISTA HEALTH & WELLNESS
  • Facility Address: 5500 VERULAM AVENUE
    CINCINNATI, OH
    ZIP 45213
  • Facility Phone: 513 530-1808
  • Facility Type: Hospital
  • Facility Type: Waiver
  • Lab Director: SUMERA KHAN
  • NPI Number: 1053784454
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 36D2113720
LAB Type Hospital
Facility Name BLUERIDGE VISTA HEALTH & WELLNESS
Street 5500 VERULAM AVENUE
City CINCINNATI
State OH
ZIP 45213
Phone 513 530-1808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/31/2024
Certificate Expiration Date 5/30/2026
Facility Type Hospital
Lab Director SUMERA KHAN

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