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

Laboratory Demographics

CLIA Number: 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
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Facility Phone Number: 864 587-5768

Facility Type: Ambulatory Surgery Center

Certificate Type: Accreditation

NPI Number: 1629432869

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

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
CertificateType	1
CertificateEffectiveDate	1/31/2024
CertificateExpirationDate	1/30/2026
FacilityType	Accreditation

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This page was last updated on: 4/23/2024