42D0726779 CLIA NUMBER - BLUE RIDGE UROLOGY PA

Laboratory Demographics

  • CLIA Code: 42D0726779
  • Facility Name: BLUE RIDGE UROLOGY PA
  • Facility Address: 402 MEMORIAL DRIVE EXT ATTN JANICE STEAD
    GREER, SC
    ZIP 29651
  • Facility Phone: 864 877-0779
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOHN E. WALTON M D
  • NPI Number: 1487751699
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 42D0726779
LAB Type Physician Office
Facility Name BLUE RIDGE UROLOGY PA
Street 402 MEMORIAL DRIVE EXT ATTN JANICE STEAD
City GREER
State SC
ZIP 29651
Phone 864 877-0779
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/18/2024
Certificate Expiration Date 8/17/2026
Facility Type Physician Office
Lab Director JOHN E. WALTON M D

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