42D0253234 CLIA NUMBER - FAIRVIEW FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 42D0253234

Facility Name: FAIRVIEW FAMILY PRACTICE

Facility Address:
103 FAIRVIEW POINTE DR
SIMPSONVILLE, SC
ZIP 29681
Get Directions

Facility Phone Number: 864 967-4982

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1083645584

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 42D0253234
LAB Type Physician Office
Facility Name FAIRVIEW FAMILY PRACTICE
Street 103 FAIRVIEW POINTE DR
City SIMPSONVILLE
State SC
ZIP 29681
Phone 864 967-4982
CertificateType 3
CertificateEffectiveDate 12/1/2022
CertificateExpirationDate 11/30/2024
FacilityType PPMP

Download Record

Download this CLIA NUMBER record in Text format: Export

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

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024