42D0935175 CLIA NUMBER - PRISMA HEALTH LAURENS FAMILY MEDICINE GRAY COURT

Laboratory Demographics

  • CLIA Code: 42D0935175
  • Facility Name: PRISMA HEALTH LAURENS FAMILY MEDICINE GRAY COURT
  • Facility Address: 9100 HIGHWAY 14
    GRAY COURT, SC
    ZIP 29645
  • Facility Phone: 864 876-4888
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. CHRISTOPHER NELSON
  • NPI Number: 1700239787
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0935175
LAB Type Physician Office
Facility Name PRISMA HEALTH LAURENS FAMILY MEDICINE GRAY COURT
Street 9100 HIGHWAY 14
City GRAY COURT
State SC
ZIP 29645
Phone 864 876-4888
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 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Physician Office
Lab Director DR. CHRISTOPHER NELSON

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