34D1099074 CLIA NUMBER - GREENVILLE MRI-EASTERN RADIOLOGIST INC

Laboratory Demographics

  • CLIA Code: 34D1099074
  • Facility Name: GREENVILLE MRI-EASTERN RADIOLOGIST INC
  • Facility Address: 2101 W ARLINGTON BLVD STE 110
    GREENVILLE, NC
    ZIP 27834
  • Facility Phone: 252 754-5259
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ERIC MARTIN
  • NPI Number: 1851344436
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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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
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Other
Lab Director ERIC MARTIN

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