42D0253132 CLIA NUMBER - FAMILY HEALTHCARE - NINETY SIX

Laboratory Demographics

  • CLIA Code: 42D0253132
  • Facility Name: FAMILY HEALTHCARE - NINETY SIX
  • Facility Address: 103 LITTLE MOUNTAIN ROAD
    NINETY SIX, SC
    ZIP 29666
  • Facility Phone: 864 543-3515
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: REID CASTELLONE
  • NPI Number: 1609262807
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D0253132
LAB Type Physician Office
Facility Name FAMILY HEALTHCARE - NINETY SIX
Street 103 LITTLE MOUNTAIN ROAD
City NINETY SIX
State SC
ZIP 29666
Phone 864 543-3515
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Physician Office
Lab Director REID CASTELLONE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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