42D0929061 CLIA NUMBER - PECORA MEDICAL & PAIN PC

Laboratory Demographics

  • CLIA Code: 42D0929061
  • Facility Name: PECORA MEDICAL & PAIN PC
  • Facility Address: 803 NORTH FANT ST, STE 3A
    ANDERSON, SC
    ZIP 29621
  • Facility Phone: 864 225-7401
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAMES WINBUSH
  • NPI Number: 1275825994
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0929061
LAB Type Physician Office
Facility Name PECORA MEDICAL & PAIN PC
Street 803 NORTH FANT ST, STE 3A
City ANDERSON
State SC
ZIP 29621
Phone 864 225-7401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director JAMES WINBUSH

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