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34D1099074 CLIA NUMBER - GREENVILLE MRI-EASTERN RADIOLOGIST INC

Laboratory Demographics

CLIA Number: 34D1099074

Facility Name: GREENVILLE MRI-EASTERN RADIOLOGIST INC

Facility Address:
2101 W ARLINGTON BLVD STE 110
GREENVILLE, NC
ZIP 27834
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Facility Phone Number: 252 754-5259

Facility Type: Other

Certificate Type: Waiver
NPI Number: 1851344436

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 34D1099074
LAB Type Other
Facility Name GREENVILLE MRI-EASTERN RADIOLOGIST INC
Street 2101 W ARLINGTON BLVD STE 110
City GREENVILLE
State NC
ZIP 27834
Phone 252 754-5259
CertificateType 4
CertificateEffectiveDate 5/5/2023
CertificateExpirationDate 5/4/2025
FacilityType Waiver

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