42D0972500 CLIA NUMBER - LAKEVIEW INTERNAL MEDICINE, PA

Laboratory Demographics

  • CLIA Code: 42D0972500
  • Facility Name: LAKEVIEW INTERNAL MEDICINE, PA
  • Facility Address: 223 MAIN STREET POST OFFICE BOX 577
    SENECA, SC
    ZIP 29679
  • Facility Phone: 864 985-1122
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARMINE FIORENTINO MD
  • NPI Number: 1851339329
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0972500
LAB Type Physician Office
Facility Name LAKEVIEW INTERNAL MEDICINE, PA
Street 223 MAIN STREET POST OFFICE BOX 577
City SENECA
State SC
ZIP 29679
Phone 864 985-1122
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/10/2024
Certificate Expiration Date 4/9/2026
Facility Type Physician Office
Lab Director CARMINE FIORENTINO MD

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