42D1018904 CLIA NUMBER - SHERMAN RESIDENTIAL CARE

Laboratory Demographics

  • CLIA Code: 42D1018904
  • Facility Name: SHERMAN RESIDENTIAL CARE
  • Facility Address: 20 MAYFIELD ST
    GREENVILLE, SC
    ZIP 29601
  • Facility Phone: 864 242-0401
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: JACKIE S. MILLER
  • NPI Number: 1235739160
  • Taxonomy: 251J00000X - Nursing Care

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CLIA Record

Field Name Field Value
CLIA Number 42D1018904
LAB Type Assisted Living Facility
Facility Name SHERMAN RESIDENTIAL CARE
Street 20 MAYFIELD ST
City GREENVILLE
State SC
ZIP 29601
Phone 864 242-0401
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2023
Certificate Expiration Date 11/3/2025
Facility Type Assisted Living Facility
Lab Director JACKIE S. MILLER

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