42D0983055 CLIA NUMBER - WARE SHOALS MANOR

Laboratory Demographics

  • CLIA Code: 42D0983055
  • Facility Name: WARE SHOALS MANOR
  • Facility Address: 10 NORTH GREENWOOD AVENUE
    WARE SHOALS, SC
    ZIP 29692
  • Facility Phone: 864 456-7127
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: OBIAJULU M. MELEKWE
  • NPI Number: 1235743295
  • Taxonomy: 3336C0003X - Pharmacy

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D0983055
LAB Type Other
Facility Name WARE SHOALS MANOR
Street 10 NORTH GREENWOOD AVENUE
City WARE SHOALS
State SC
ZIP 29692
Phone 864 456-7127
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/13/2025
Certificate Expiration Date 2/12/2027
Facility Type Other
Lab Director OBIAJULU M. MELEKWE

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