34D1041789 CLIA NUMBER - CATAWBA VALLEY IMAGING CENTER

Laboratory Demographics

CLIA Number: 34D1041789

Facility Name: CATAWBA VALLEY IMAGING CENTER

Facility Address:
1501 TATE BOULEVARD SE, SUITE 101
HICKORY, NC
ZIP 28602
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Facility Phone Number: 828 732-6650

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Waiver

NPI Number: 1083747778

Taxonomy: 251S00000X - Community/Behavioral Health
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

CLIA Record

Field Name	Field Value
CLIA Number	34D1041789
LAB Type	Ancillary Testing Site in Health Care Center
Facility Name	CATAWBA VALLEY IMAGING CENTER
Street	1501 TATE BOULEVARD SE, SUITE 101
City	HICKORY
State	NC
ZIP	28602
Phone	828 732-6650
CertificateType	4
CertificateEffectiveDate	12/18/2023
CertificateExpirationDate	12/17/2025
FacilityType	Waiver

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