36D2230141 CLIA NUMBER - BRIGHTVIEW, LLC PARMA

Laboratory Demographics

CLIA Number: 36D2230141

Facility Name: BRIGHTVIEW, LLC PARMA

Facility Address:
5850 RIDGE ROAD
PARMA, OH
ZIP 44129
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Facility Phone Number: 513 834-7063

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1699370163

Taxonomy: 207RA0401X - Internal Medicine
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.

CLIA Record

Field Name	Field Value
CLIA Number	36D2230141
LAB Type	Physician Office
Facility Name	BRIGHTVIEW, LLC PARMA
Street	5850 RIDGE ROAD
City	PARMA
State	OH
ZIP	44129
Phone	513 834-7063
CertificateType	4
CertificateEffectiveDate	7/20/2023
CertificateExpirationDate	7/19/2025
FacilityType	Waiver

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