42D0253610 CLIA NUMBER - PIEDMONT PHYSICIAN NETWORK DBA FAMILY MEDICINE ASSOCIATES YORK

Laboratory Demographics

  • CLIA Code: 42D0253610
  • Facility Name: PIEDMONT PHYSICIAN NETWORK DBA FAMILY MEDICINE ASSOCIATES YORK
  • Facility Address: 1023 CREEKSIDE MEDICAL DRIVE
    YORK, SC
    ZIP 29745
  • Facility Phone: 803 684-3738
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. AYDRIAN THOMAS
  • NPI Number: 1194277186
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0253610
LAB Type Physician Office
Facility Name PIEDMONT PHYSICIAN NETWORK DBA FAMILY MEDICINE ASSOCIATES YORK
Street 1023 CREEKSIDE MEDICAL DRIVE
City YORK
State SC
ZIP 29745
Phone 803 684-3738
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/25/2024
Certificate Expiration Date 7/24/2026
Facility Type Physician Office
Lab Director DR. AYDRIAN THOMAS

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