42D1022259 CLIA NUMBER - ANDERSON DIAGNOSTIC IMAGING DBA ANDERSON RADIOLOGY

Laboratory Demographics

  • CLIA Code: 42D1022259
  • Facility Name: ANDERSON DIAGNOSTIC IMAGING DBA ANDERSON RADIOLOGY
  • Facility Address: 2110 NORTH HIGHWAY 81
    ANDERSON, SC
    ZIP 29621
  • Facility Phone: 864 225-6286
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: ANGEL B. WHITAKER
  • NPI Number: 1407026545
  • Taxonomy: 2085R0202X - Radiology

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CLIA Record

Field Name Field Value
CLIA Number 42D1022259
LAB Type Other
Facility Name ANDERSON DIAGNOSTIC IMAGING DBA ANDERSON RADIOLOGY
Street 2110 NORTH HIGHWAY 81
City ANDERSON
State SC
ZIP 29621
Phone 864 225-6286
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/17/2024
Certificate Expiration Date 9/16/2026
Facility Type Other
Lab Director ANGEL B. WHITAKER

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