42D1104813 CLIA NUMBER - MOUNTAINVIEW MEDICAL IMAGING

Laboratory Demographics

  • CLIA Code: 42D1104813
  • Facility Name: MOUNTAINVIEW MEDICAL IMAGING
  • Facility Address: 1059 BY PASS 123
    SENECA, SC
    ZIP 29678
  • Facility Phone: 864 885-0551
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: BRITTANY PHILLIPS
  • NPI Number: 1780617910
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 42D1104813
LAB Type Independent
Facility Name MOUNTAINVIEW MEDICAL IMAGING
Street 1059 BY PASS 123
City SENECA
State SC
ZIP 29678
Phone 864 885-0551
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2025
Certificate Expiration Date 9/10/2027
Facility Type Independent
Lab Director BRITTANY PHILLIPS

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