42D0253120 CLIA NUMBER - BON SECOURS NORTH HILLS MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 42D0253120
  • Facility Name: BON SECOURS NORTH HILLS MEDICAL CENTER
  • Facility Address: 309 WEST BUTLER ROAD
    MAULDIN, SC
    ZIP 29662
  • Facility Phone: 864 297-1575
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BIJAL DESAI
  • NPI Number: 1841668670
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0253120
LAB Type Physician Office
Facility Name BON SECOURS NORTH HILLS MEDICAL CENTER
Street 309 WEST BUTLER ROAD
City MAULDIN
State SC
ZIP 29662
Phone 864 297-1575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2023
Certificate Expiration Date 9/30/2025
Facility Type Physician Office
Lab Director BIJAL DESAI

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