42D0883226 CLIA NUMBER - UPSTATE SURGERY CENTER LLC

Laboratory Demographics

  • CLIA Code: 42D0883226
  • Facility Name: UPSTATE SURGERY CENTER LLC
  • Facility Address: 10 ENTERPRISE BLVD SUITE 109
    GREENVILLE, SC
    ZIP 29615
  • Facility Phone: 864 458-7141
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL ATKINSON
  • NPI Number: 1619998523
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0883226
LAB Type Ambulatory Surgery Center
Facility Name UPSTATE SURGERY CENTER LLC
Street 10 ENTERPRISE BLVD SUITE 109
City GREENVILLE
State SC
ZIP 29615
Phone 864 458-7141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. DANIEL ATKINSON

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