42D0978477 CLIA NUMBER - PREMIER FAMILY MEDICINE PA

Laboratory Demographics

  • CLIA Code: 42D0978477
  • Facility Name: PREMIER FAMILY MEDICINE PA
  • Facility Address: 305 TANNER RD
    GREENVILLE, SC
    ZIP 29607
  • Facility Phone: 864 286-9050
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MEREDITH BERGEYVEJNAR
  • NPI Number: 1770589178
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0978477
LAB Type Physician Office
Facility Name PREMIER FAMILY MEDICINE PA
Street 305 TANNER RD
City GREENVILLE
State SC
ZIP 29607
Phone 864 286-9050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2024
Certificate Expiration Date 9/17/2026
Facility Type Physician Office
Lab Director DR. MEREDITH BERGEYVEJNAR

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