36D2238890 CLIA NUMBER - VERA WHOLE HEALTH

Laboratory Demographics

CLIA Number: 36D2238890

Facility Name: VERA WHOLE HEALTH

Facility Address:
3415 VISION DRIVE, 1ST FLOOR
COLUMBUS, OH
ZIP 43219
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Facility Phone Number: 380 444-6595

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1679235592

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2238890
LAB Type	Physician Office
Facility Name	VERA WHOLE HEALTH
Street	3415 VISION DRIVE, 1ST FLOOR
City	COLUMBUS
State	OH
ZIP	43219
Phone	380 444-6595
CertificateType	4
CertificateEffectiveDate	10/7/2023
CertificateExpirationDate	10/6/2025
FacilityType	Waiver

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