42D1024710 CLIA NUMBER - PRISMA HEALTH - UPSTATE DBA PRISMA HEALTH SURGERY CENTER - SPARTANBURG POC LAB

Laboratory Demographics

  • CLIA Code: 42D1024710
  • Facility Name: PRISMA HEALTH - UPSTATE DBA PRISMA HEALTH SURGERY CENTER - SPARTANBURG POC LAB
  • Facility Address: 1413 JOHN B WHITE SR BLVD SUITE D
    SPARTANBURG, SC
    ZIP 29306
  • Facility Phone: 864 587-5768
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Accreditation
  • Lab Director: DR. CHRISTOPHER M. SIMONS
  • NPI Number: 1629432869
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 42D1024710
LAB Type Ambulatory Surgery Center
Facility Name PRISMA HEALTH - UPSTATE DBA PRISMA HEALTH SURGERY CENTER - SPARTANBURG POC LAB
Street 1413 JOHN B WHITE SR BLVD SUITE D
City SPARTANBURG
State SC
ZIP 29306
Phone 864 587-5768
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. CHRISTOPHER M. SIMONS

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