42D0936712 CLIA NUMBER - GOLDEN CORNER FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 42D0936712
  • Facility Name: GOLDEN CORNER FAMILY PRACTICE
  • Facility Address: 1205 NORTH HWY 11
    WEST UNION, SC
    ZIP 29696
  • Facility Phone: 864 638-5402
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: EDWARD BOOKER SR
  • NPI Number: 1447634597
  • Taxonomy: 1223G0001X - Dentist

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CLIA Record

Field Name Field Value
CLIA Number 42D0936712
LAB Type Physician Office
Facility Name GOLDEN CORNER FAMILY PRACTICE
Street 1205 NORTH HWY 11
City WEST UNION
State SC
ZIP 29696
Phone 864 638-5402
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/22/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director EDWARD BOOKER SR

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