42D2185432 CLIA NUMBER - BLUE MOUNTAIN DIAGNOSTICS

Laboratory Demographics

  • CLIA Code: 42D2185432
  • Facility Name: BLUE MOUNTAIN DIAGNOSTICS
  • Facility Address: 10 ENTERPRISE DRIVE, SUTIE 206
    GREENVILLE, SC
    ZIP 29615
  • Facility Phone: 864 907-8820
  • Facility Type: Independent
  • Facility Type: Accreditation
  • Lab Director: DR. ROBERT M. DAVID
  • NPI Number: 1346847522
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 42D2185432
LAB Type Independent
Facility Name BLUE MOUNTAIN DIAGNOSTICS
Street 10 ENTERPRISE DRIVE, SUTIE 206
City GREENVILLE
State SC
ZIP 29615
Phone 864 907-8820
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 11/24/2023
Certificate Expiration Date 11/23/2025
Facility Type Independent
Lab Director DR. ROBERT M. DAVID

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