42D0987211 CLIA NUMBER - ST FRANCIS PHYSICIANS SERVICES DBA PALMETTO GREENVILLE UROLOGY

Laboratory Demographics

  • CLIA Code: 42D0987211
  • Facility Name: ST FRANCIS PHYSICIANS SERVICES DBA PALMETTO GREENVILLE UROLOGY
  • Facility Address: 200 ANDREWS STREET, SUITE 100
    GREENVILLE, SC
    ZIP 29601
  • Facility Phone: (864) 295-2131
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. PHILIP FONTENOT
  • NPI Number: 1588955652
  • Taxonomy: 208800000X - Urology

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CLIA Record

Field Name Field Value
CLIA Number 42D0987211
LAB Type Physician Office
Facility Name ST FRANCIS PHYSICIANS SERVICES DBA PALMETTO GREENVILLE UROLOGY
Street 200 ANDREWS STREET, SUITE 100
City GREENVILLE
State SC
ZIP 29601
Phone 8642952131
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 12/29/2024
Certificate Expiration Date 12/28/2026
Facility Type Physician Office
Lab Director DR. PHILIP FONTENOT

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This page was last updated on: 5/18/2026