42D0252444 CLIA NUMBER - PRISMA HEALTH PEDIATRICS- PLEASANTBURG

Laboratory Demographics

CLIA Number: 42D0252444

Facility Name: PRISMA HEALTH PEDIATRICS- PLEASANTBURG

Facility Address:
890 S PLEASANTBURG DRIVE
GREENVILLE, SC
ZIP 29607
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Facility Phone Number: 864 271-1450

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1295763217

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	42D0252444
LAB Type	Physician Office
Facility Name	PRISMA HEALTH PEDIATRICS- PLEASANTBURG
Street	890 S PLEASANTBURG DRIVE
City	GREENVILLE
State	SC
ZIP	29607
Phone	864 271-1450
CertificateType	1
CertificateEffectiveDate	6/24/2022
CertificateExpirationDate	6/23/2024
FacilityType	Accreditation

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