34D2311201 CLIA NUMBER - MISSION CHILDREN'S SPECIALTY - MRI

Laboratory Demographics

  • CLIA Code: 34D2311201
  • Facility Name: MISSION CHILDREN'S SPECIALTY - MRI
  • Facility Address: 11 VANDERBILT PARK DRIVE
    ASHEVILLE, NC
    ZIP 28803
  • Facility Phone: 828 213-1311
  • Facility Type: Other - RADIOLOGY (MRI)
  • Facility Type: Waiver
  • Lab Director: MARIANNE BALLISTY
  • NPI Number: 1487974382
  • Taxonomy: 104100000X - Social Worker

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CLIA Record

Field Name Field Value
CLIA Number 34D2311201
LAB Type Other - RADIOLOGY (MRI)
Facility Name MISSION CHILDREN'S SPECIALTY - MRI
Street 11 VANDERBILT PARK DRIVE
City ASHEVILLE
State NC
ZIP 28803
Phone 828 213-1311
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Other - RADIOLOGY (MRI)
Lab Director MARIANNE BALLISTY

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