42D0981461 CLIA NUMBER - ANMED HEALTH CENTERVILLE FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 42D0981461
  • Facility Name: ANMED HEALTH CENTERVILLE FAMILY MEDICINE
  • Facility Address: 1520 WHITEHALL ROAD
    ANDERSON, SC
    ZIP 29625
  • Facility Phone: 864 512-5984
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KYLE K. NELSON DO
  • NPI Number: 1679719579
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0981461
LAB Type Physician Office
Facility Name ANMED HEALTH CENTERVILLE FAMILY MEDICINE
Street 1520 WHITEHALL ROAD
City ANDERSON
State SC
ZIP 29625
Phone 864 512-5984
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Physician Office
Lab Director KYLE K. NELSON DO

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