42D0942751 CLIA NUMBER - STEPHEN F WORSHAM, MD

Laboratory Demographics

  • CLIA Code: 42D0942751
  • Facility Name: STEPHEN F WORSHAM, MD
  • Facility Address: 109 BUFORD AVENUE
    ANDERSON, SC
    ZIP 29621
  • Facility Phone: 864 224-1316
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEPHEN F. WORSHAM
  • NPI Number: 1881936565
  • Taxonomy: 225100000X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 42D0942751
LAB Type Physician Office
Facility Name STEPHEN F WORSHAM, MD
Street 109 BUFORD AVENUE
City ANDERSON
State SC
ZIP 29621
Phone 864 224-1316
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Physician Office
Lab Director STEPHEN F. WORSHAM

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