42D0665587 CLIA NUMBER - POWDERSVILLE FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 42D0665587
  • Facility Name: POWDERSVILLE FAMILY PRACTICE
  • Facility Address: 10701 ANDERSON ROAD
    EASLEY, SC
    ZIP 29642
  • Facility Phone: 864 295-2500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KEVIN HAMILTON
  • NPI Number: 1891722666
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0665587
LAB Type Physician Office
Facility Name POWDERSVILLE FAMILY PRACTICE
Street 10701 ANDERSON ROAD
City EASLEY
State SC
ZIP 29642
Phone 864 295-2500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Physician Office
Lab Director DR. KEVIN HAMILTON

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