34D2317622 CLIA NUMBER - MOUNTAIN VISTA RECOVERY, PLLC

Laboratory Demographics

  • CLIA Code: 34D2317622
  • Facility Name: MOUNTAIN VISTA RECOVERY, PLLC
  • Facility Address: 2560 ASHEVILLE HIGHWAY, SUITE 40
    HENDERSONVILLE, NC
    ZIP 28791
  • Facility Phone: 828 393-5132
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE W. TASEDAN
  • NPI Number: 1730947532
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 34D2317622
LAB Type Physician Office
Facility Name MOUNTAIN VISTA RECOVERY, PLLC
Street 2560 ASHEVILLE HIGHWAY, SUITE 40
City HENDERSONVILLE
State NC
ZIP 28791
Phone 828 393-5132
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/28/2025
Certificate Expiration Date 1/27/2027
Facility Type Physician Office
Lab Director GEORGE W. TASEDAN

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