42D0250024 CLIA NUMBER - WOMAN'S CLINIC PA

Laboratory Demographics

  • CLIA Code: 42D0250024
  • Facility Name: WOMAN'S CLINIC PA
  • Facility Address: 475 HEYWOOD AVE
    SPARTANBURG, SC
    ZIP 29307
  • Facility Phone: 864 699-5020
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT GOODLETT
  • NPI Number: 1396798146
  • Taxonomy: 207VX0000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 42D0250024
LAB Type Physician Office
Facility Name WOMAN'S CLINIC PA
Street 475 HEYWOOD AVE
City SPARTANBURG
State SC
ZIP 29307
Phone 864 699-5020
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 7/20/2025
Certificate Expiration Date 7/19/2027
Facility Type Physician Office
Lab Director ROBERT GOODLETT

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