42D0681346 CLIA NUMBER - ALLERGIC DISEASE & ASTHMA CENTER, P A

Laboratory Demographics

CLIA Number: 42D0681346

Facility Name: ALLERGIC DISEASE & ASTHMA CENTER, P A

Facility Address:
2 BUTTERNUT DRIVE
GREENVILLE, SC
ZIP 29605
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Facility Phone Number: 864 627-3800

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1164687489

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name Field Value
CLIA Number 42D0681346
LAB Type Physician Office
Facility Name ALLERGIC DISEASE & ASTHMA CENTER, P A
Street 2 BUTTERNUT DRIVE
City GREENVILLE
State SC
ZIP 29605
Phone 864 627-3800
CertificateType 3
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType PPMP

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