42D0911171 CLIA NUMBER - COLON & RECTAL SURGERY ASSOCIATES PC

Laboratory Demographics

  • CLIA Code: 42D0911171
  • Facility Name: COLON & RECTAL SURGERY ASSOCIATES PC
  • Facility Address: 410 UNIVERSITY PARKWAY, SUITE 2100
    AIKEN, SC
    ZIP 29801
  • Facility Phone: 803 648-1171
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID H. GIBBS M D
  • NPI Number: 1306891197
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 42D0911171
LAB Type Physician Office
Facility Name COLON & RECTAL SURGERY ASSOCIATES PC
Street 410 UNIVERSITY PARKWAY, SUITE 2100
City AIKEN
State SC
ZIP 29801
Phone 803 648-1171
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/29/2024
Certificate Expiration Date 1/28/2026
Facility Type Physician Office
Lab Director DAVID H. GIBBS M D

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