42D0978477 CLIA NUMBER - PREMIER FAMILY MEDICINE PA

Laboratory Demographics

CLIA Number: 42D0978477

Facility Name: PREMIER FAMILY MEDICINE PA

Facility Address:
304 ASHBY PARK LANE
GREENVILLE, SC
ZIP 29607
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Facility Phone Number: 864 286-9050

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770589178

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	42D0978477
LAB Type	Physician Office
Facility Name	PREMIER FAMILY MEDICINE PA
Street	304 ASHBY PARK LANE
City	GREENVILLE
State	SC
ZIP	29607
Phone	864 286-9050
CertificateType	4
CertificateEffectiveDate	9/18/2022
CertificateExpirationDate	9/17/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024