42D0918491 CLIA NUMBER - FAMILY HEALTHCARE WARE SHOALS

Laboratory Demographics

  • CLIA Code: 42D0918491
  • Facility Name: FAMILY HEALTHCARE WARE SHOALS
  • Facility Address: 167 SOUTH GREENWOOD AVENUE
    WARE SHOALS, SC
    ZIP 29692
  • Facility Phone: 864 456-3447
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RODRINE A. BUFFALOE
  • NPI Number: 1942528161
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0918491
LAB Type Physician Office
Facility Name FAMILY HEALTHCARE WARE SHOALS
Street 167 SOUTH GREENWOOD AVENUE
City WARE SHOALS
State SC
ZIP 29692
Phone 864 456-3447
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/12/2024
Certificate Expiration Date 8/11/2026
Facility Type Physician Office
Lab Director RODRINE A. BUFFALOE

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