42D0940854 CLIA NUMBER - AIKEN PHYSICIANS ALLIANCE INTERNAL MEDICINE

Laboratory Demographics

  • CLIA Code: 42D0940854
  • Facility Name: AIKEN PHYSICIANS ALLIANCE INTERNAL MEDICINE
  • Facility Address: 102 SUMMERWOOD WAY
    AIKEN, SC
    ZIP 29803
  • Facility Phone: 803 649-5300
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GERALD GORDON
  • NPI Number: 1396738753
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0940854
LAB Type Physician Office
Facility Name AIKEN PHYSICIANS ALLIANCE INTERNAL MEDICINE
Street 102 SUMMERWOOD WAY
City AIKEN
State SC
ZIP 29803
Phone 803 649-5300
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 2/18/2024
Certificate Expiration Date 2/17/2026
Facility Type Physician Office
Lab Director GERALD GORDON

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