42D2018987 CLIA NUMBER - THE IMAGING CENTER AT BAXTER VILLAGE

Laboratory Demographics

  • CLIA Code: 42D2018987
  • Facility Name: THE IMAGING CENTER AT BAXTER VILLAGE
  • Facility Address: 509 SIXTH BAXTER CROSSING
    FORT MILL, SC
    ZIP 29708
  • Facility Phone: 803 802-2554
  • Facility Type: Other - DIAGNOSTIC IMAGING CENTER
  • Facility Type: Waiver
  • Lab Director: DR. CRAIG HART
  • NPI Number: 1013170109
  • Taxonomy: 261QM1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2018987
LAB Type Other - DIAGNOSTIC IMAGING CENTER
Facility Name THE IMAGING CENTER AT BAXTER VILLAGE
Street 509 SIXTH BAXTER CROSSING
City FORT MILL
State SC
ZIP 29708
Phone 803 802-2554
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/20/2025
Certificate Expiration Date 1/19/2027
Facility Type Other - DIAGNOSTIC IMAGING CENTER
Lab Director DR. CRAIG HART

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