49D2037241 CLIA NUMBER - DIAGNOSTIC LABORATORIES LLC DBA INVIVO MOLECULAR IMAGING

Laboratory Demographics

  • CLIA Code: 49D2037241
  • Facility Name: DIAGNOSTIC LABORATORIES LLC DBA INVIVO MOLECULAR IMAGING
  • Facility Address: 310 3RD STREET, NE
    NORTON, VA
    ZIP 24273
  • Facility Phone: 423 467-0050
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: BLAINE J. BEINING
  • NPI Number: 1124073903
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 49D2037241
LAB Type Mobile Laboratory
Facility Name DIAGNOSTIC LABORATORIES LLC DBA INVIVO MOLECULAR IMAGING
Street 310 3RD STREET, NE
City NORTON
State VA
ZIP 24273
Phone 423 467-0050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/22/2024
Certificate Expiration Date 2/21/2026
Facility Type Mobile Laboratory
Lab Director BLAINE J. BEINING

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