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42D0250006 CLIA NUMBER - FAMILY MEDICAL CENTER & INFECTIOUS DISEASE - SKYLYN

Laboratory Demographics

CLIA Number: 42D0250006

Facility Name: FAMILY MEDICAL CENTER & INFECTIOUS DISEASE - SKYLYN

Facility Address:
1690 SKYLYN DR SUITE 300A
SPARTANBURG, SC
ZIP 29307
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Facility Phone Number: 864 342-4000

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1770506990

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 42D0250006
LAB Type Physician Office
Facility Name FAMILY MEDICAL CENTER & INFECTIOUS DISEASE - SKYLYN
Street 1690 SKYLYN DR SUITE 300A
City SPARTANBURG
State SC
ZIP 29307
Phone 864 342-4000
CertificateType 4
CertificateEffectiveDate 11/1/2022
CertificateExpirationDate 10/31/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024