42D0963644 CLIA NUMBER - ANDERSON FAMILY CARE

Laboratory Demographics

  • CLIA Code: 42D0963644
  • Facility Name: ANDERSON FAMILY CARE
  • Facility Address: 3424 CLEMSON BLVD
    ANDERSON, SC
    ZIP 29621
  • Facility Phone: 864 261-4350
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: WAJDI DBOUK
  • NPI Number: 1285890574
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 42D0963644
LAB Type Independent
Facility Name ANDERSON FAMILY CARE
Street 3424 CLEMSON BLVD
City ANDERSON
State SC
ZIP 29621
Phone 864 261-4350
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/12/2024
Certificate Expiration Date 2/11/2026
Facility Type Independent
Lab Director WAJDI DBOUK

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