42D0252659 CLIA NUMBER - PETER G MALMQUIST MD

Laboratory Demographics

  • CLIA Code: 42D0252659
  • Facility Name: PETER G MALMQUIST MD
  • Facility Address: 2404 MIDWAY ROAD
    ANDERSON, SC
    ZIP 29621
  • Facility Phone: 864 225-0991
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PETER G. MALMQUIST
  • NPI Number: 1154423689
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0252659
LAB Type Physician Office
Facility Name PETER G MALMQUIST MD
Street 2404 MIDWAY ROAD
City ANDERSON
State SC
ZIP 29621
Phone 864 225-0991
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 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director PETER G. MALMQUIST

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