42D0953399 CLIA NUMBER - JERVEY EYE CENTER LLC

Laboratory Demographics

  • CLIA Code: 42D0953399
  • Facility Name: JERVEY EYE CENTER LLC
  • Facility Address: 5 STEVENS ST SUITE 200
    GREENVILLE, SC
    ZIP 29605
  • Facility Phone: 864 271-3354
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: LISA L. FARMER
  • NPI Number: 1538139803
  • Taxonomy: 207W00000X - Ophthalmology

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CLIA Record

Field Name Field Value
CLIA Number 42D0953399
LAB Type Ambulatory Surgery Center
Facility Name JERVEY EYE CENTER LLC
Street 5 STEVENS ST SUITE 200
City GREENVILLE
State SC
ZIP 29605
Phone 864 271-3354
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/11/2024
Certificate Expiration Date 11/10/2026
Facility Type Ambulatory Surgery Center
Lab Director LISA L. FARMER

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