30D0720135 CLIA NUMBER - AIKEN MEDICAL PC

Laboratory Demographics

  • CLIA Code: 30D0720135
  • Facility Name: AIKEN MEDICAL PC
  • Facility Address: 420 SOCIETY HILL DRIVE, SUITE 100
    AIKEN, SC
    ZIP 29803
  • Facility Phone: 803 648-7774
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARC BRICKMAN DO
  • NPI Number: 1154568681
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 30D0720135
LAB Type Physician Office
Facility Name AIKEN MEDICAL PC
Street 420 SOCIETY HILL DRIVE, SUITE 100
City AIKEN
State SC
ZIP 29803
Phone 803 648-7774
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MARC BRICKMAN DO

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