42D0695268 CLIA NUMBER - MUKESH M GANDHI, MD, PA

Laboratory Demographics

  • CLIA Code: 42D0695268
  • Facility Name: MUKESH M GANDHI, MD, PA
  • Facility Address: 409 E GEORGIA STREET
    WOODRUFF, SC
    ZIP 29388
  • Facility Phone: 864 476-7068
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUKESH M. GANDHI
  • NPI Number: 1982608469
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0695268
LAB Type Physician Office
Facility Name MUKESH M GANDHI, MD, PA
Street 409 E GEORGIA STREET
City WOODRUFF
State SC
ZIP 29388
Phone 864 476-7068
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director MUKESH M. GANDHI

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