42D0250262 CLIA NUMBER - PRISMA HEALTH - UPSTATE DBA LAURENS FAMILY MEDICINE - MAIN POC LAB

Laboratory Demographics

  • CLIA Code: 42D0250262
  • Facility Name: PRISMA HEALTH - UPSTATE DBA LAURENS FAMILY MEDICINE - MAIN POC LAB
  • Facility Address: 106 PARKVIEW DRIVE
    LAURENS, SC
    ZIP 29360
  • Facility Phone: 864 984-0571
  • Facility Type: Practitioner Other
  • Facility Type: Accreditation
  • Lab Director: DR. WILLIAM F. CHILDERS
  • NPI Number: 1942755848
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0250262
LAB Type Practitioner Other
Facility Name PRISMA HEALTH - UPSTATE DBA LAURENS FAMILY MEDICINE - MAIN POC LAB
Street 106 PARKVIEW DRIVE
City LAURENS
State SC
ZIP 29360
Phone 864 984-0571
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 12/10/2023
Certificate Expiration Date 12/9/2025
Facility Type Practitioner Other
Lab Director DR. WILLIAM F. CHILDERS

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