42D0902262 CLIA NUMBER - DOCTORS CARE - CONGAREE

Laboratory Demographics

CLIA Number: 42D0902262

Facility Name: DOCTORS CARE - CONGAREE

Facility Address:
701 CONGAREE ROAD
GREENVILLE, SC
ZIP 29607
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Facility Phone Number: 864 458-7289

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1649519513

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	42D0902262
LAB Type	Physician Office
Facility Name	DOCTORS CARE - CONGAREE
Street	701 CONGAREE ROAD
City	GREENVILLE
State	SC
ZIP	29607
Phone	864 458-7289
CertificateType	2
CertificateEffectiveDate	9/18/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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