42D0253086 CLIA NUMBER - ANMED PRIMARY CARE - HONEA PATH

Laboratory Demographics

  • CLIA Code: 42D0253086
  • Facility Name: ANMED PRIMARY CARE - HONEA PATH
  • Facility Address: 21 SOUTH SHIRLEY AVENUE
    HONEA PATH, SC
    ZIP 29654
  • Facility Phone: 864 512-7879
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GRAYSON JORDAN
  • NPI Number: 1760769434
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 42D0253086
LAB Type Physician Office
Facility Name ANMED PRIMARY CARE - HONEA PATH
Street 21 SOUTH SHIRLEY AVENUE
City HONEA PATH
State SC
ZIP 29654
Phone 864 512-7879
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2023
Certificate Expiration Date 10/26/2025
Facility Type Physician Office
Lab Director GRAYSON JORDAN

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