36D2258753 CLIA NUMBER - VERA WHOLE HEALTH

Laboratory Demographics

CLIA Number: 36D2258753

Facility Name: VERA WHOLE HEALTH

Facility Address:
110 POLARIS PKWY STE 100
WESTERVILLE, OH
ZIP 43082
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Facility Phone Number: 380 203-3217

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1639812829

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2258753
LAB Type	Physician Office
Facility Name	VERA WHOLE HEALTH
Street	110 POLARIS PKWY STE 100
City	WESTERVILLE
State	OH
ZIP	43082
Phone	380 203-3217
CertificateType	4
CertificateEffectiveDate	4/26/2022
CertificateExpirationDate	4/25/2024
FacilityType	Waiver

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