18D2030444 CLIA NUMBER - DIAGNOSTIC LABORATORIES LLC DBA INVIVO MOLECULAR IMAGING

Laboratory Demographics

  • CLIA Code: 18D2030444
  • Facility Name: DIAGNOSTIC LABORATORIES LLC DBA INVIVO MOLECULAR IMAGING
  • Facility Address: 60 BRYAN BOULEVARD, SUITE 100
    CORBIN, KY
    ZIP 40701
  • Facility Phone: 423 467-0050
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: BLAINE J. BEINING
  • NPI Number: 1831384072
  • Taxonomy: 261QS1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 18D2030444
LAB Type Mobile Laboratory
Facility Name DIAGNOSTIC LABORATORIES LLC DBA INVIVO MOLECULAR IMAGING
Street 60 BRYAN BOULEVARD, SUITE 100
City CORBIN
State KY
ZIP 40701
Phone 423 467-0050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Mobile Laboratory
Lab Director BLAINE J. BEINING

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