42D0973325 CLIA NUMBER - BROOKDALE GREENVILLE

Laboratory Demographics

  • CLIA Code: 42D0973325
  • Facility Name: BROOKDALE GREENVILLE
  • Facility Address: 1306 PELHAM ROAD
    GREENVILLE, SC
    ZIP 29615
  • Facility Phone: 864 286-6600
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: TONI SILVER
  • NPI Number: 1629386917
  • Taxonomy: 314000000X - Skilled Nursing Facility

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D0973325
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BROOKDALE GREENVILLE
Street 1306 PELHAM ROAD
City GREENVILLE
State SC
ZIP 29615
Phone 864 286-6600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2024
Certificate Expiration Date 5/1/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director TONI SILVER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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