42D0979944 CLIA NUMBER - STONEVIEW INTERNAL MEDICINE, P A

Laboratory Demographics

  • CLIA Code: 42D0979944
  • Facility Name: STONEVIEW INTERNAL MEDICINE, P A
  • Facility Address: 3970 GRANDVIEW DRIVE, SUITE 2200
    SIMPSONVILLE, SC
    ZIP 29680
  • Facility Phone: 864 963-8002
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARCUS E. BLACKSTONE M D
  • NPI Number: 1124434543
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0979944
LAB Type Physician Office
Facility Name STONEVIEW INTERNAL MEDICINE, P A
Street 3970 GRANDVIEW DRIVE, SUITE 2200
City SIMPSONVILLE
State SC
ZIP 29680
Phone 864 963-8002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2024
Certificate Expiration Date 11/5/2026
Facility Type Physician Office
Lab Director MARCUS E. BLACKSTONE M D

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