42D0934930 CLIA NUMBER - FAMILY HEALTHCARE NEWBERRY

Laboratory Demographics

  • CLIA Code: 42D0934930
  • Facility Name: FAMILY HEALTHCARE NEWBERRY
  • Facility Address: 2605 KINARD STREET, SUITE 200
    NEWBERRY, SC
    ZIP 29108
  • Facility Phone: 803 405-1900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: BARBIE K. JOHNSON
  • NPI Number: 1477880003
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0934930
LAB Type Physician Office
Facility Name FAMILY HEALTHCARE NEWBERRY
Street 2605 KINARD STREET, SUITE 200
City NEWBERRY
State SC
ZIP 29108
Phone 803 405-1900
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 10/17/2023
Certificate Expiration Date 10/16/2025
Facility Type Physician Office
Lab Director BARBIE K. JOHNSON

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This page was last updated on: 3/20/2025