42D0987918 CLIA NUMBER - SUMMIT HILLS ATTN ANGELA GIST

Laboratory Demographics

  • CLIA Code: 42D0987918
  • Facility Name: SUMMIT HILLS ATTN ANGELA GIST
  • Facility Address: 110 SUMMIT HILLS DRIVE
    SPARTANBURG, SC
    ZIP 29307
  • Facility Phone: 864 591-2222
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ANGELA GIST
  • NPI Number: 1760515621
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D0987918
LAB Type Other
Facility Name SUMMIT HILLS ATTN ANGELA GIST
Street 110 SUMMIT HILLS DRIVE
City SPARTANBURG
State SC
ZIP 29307
Phone 864 591-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/15/2025
Certificate Expiration Date 6/14/2027
Facility Type Other
Lab Director ANGELA GIST

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