42D0715630 CLIA NUMBER - KHALID SOHERWARDY, MD

Laboratory Demographics

  • CLIA Code: 42D0715630
  • Facility Name: KHALID SOHERWARDY, MD
  • Facility Address: 317 N LOGAN STREET PO BOX 1599
    GAFFNEY, SC
    ZIP 29341
  • Facility Phone: 864 489-2588
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KHALID SOHERWARDY
  • NPI Number: 1386625564
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0715630
LAB Type Physician Office
Facility Name KHALID SOHERWARDY, MD
Street 317 N LOGAN STREET PO BOX 1599
City GAFFNEY
State SC
ZIP 29341
Phone 864 489-2588
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 DR. KHALID SOHERWARDY

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