42D0967201 CLIA NUMBER - CATAWBA INDIAN HEALTH SERVICE UNIT

Laboratory Demographics

CLIA Code: 42D0967201
Facility Name: CATAWBA INDIAN HEALTH SERVICE UNIT
Facility Address: 2893 STURGIS ROAD
ROCK HILL, SC
ZIP 29730
Facility Phone: 803 372-5683
Facility Type: Other - HHS, PHS, IHS HEALTH CLIN
Facility Type: Waiver
Lab Director: DR. JOHN NGUYEN
NPI Number: 1467581819
Taxonomy: 332800000X - Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy

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CLIA Record

Field Name	Field Value
CLIA Number	42D0967201
LAB Type	Other - HHS, PHS, IHS HEALTH CLIN
Facility Name	CATAWBA INDIAN HEALTH SERVICE UNIT
Street	2893 STURGIS ROAD
City	ROCK HILL
State	SC
ZIP	29730
Phone	803 372-5683
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/29/2025
Certificate Expiration Date	1/28/2027
Facility Type	Other - HHS, PHS, IHS HEALTH CLIN
Lab Director	DR. JOHN NGUYEN

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