42D0252860 CLIA NUMBER - FAMILY MEDICINE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 42D0252860
  • Facility Name: FAMILY MEDICINE ASSOCIATES
  • Facility Address: 522 COLLEGE AVENUE SUITE 1
    CLEMSON, SC
    ZIP 29631
  • Facility Phone: 864 654-7841
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WARREN D. GENTRY
  • NPI Number: 1053426353
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0252860
LAB Type Physician Office
Facility Name FAMILY MEDICINE ASSOCIATES
Street 522 COLLEGE AVENUE SUITE 1
City CLEMSON
State SC
ZIP 29631
Phone 864 654-7841
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/1/2025
Certificate Expiration Date 5/31/2027
Facility Type Physician Office
Lab Director WARREN D. GENTRY

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