42D0252960 CLIA NUMBER - DIGESTIVE DISEASE GROUP PA

Laboratory Demographics

  • CLIA Code: 42D0252960
  • Facility Name: DIGESTIVE DISEASE GROUP PA
  • Facility Address: 103 LINER DRIVE
    GREENWOOD, SC
    ZIP 29646
  • Facility Phone: 501 225-1400
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JENNIFER DO
  • NPI Number: 1891788907
  • Taxonomy: 207RG0100X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0252960
LAB Type Physician Office
Facility Name DIGESTIVE DISEASE GROUP PA
Street 103 LINER DRIVE
City GREENWOOD
State SC
ZIP 29646
Phone 501 225-1400
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/7/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director JENNIFER DO

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