42D1038531 CLIA NUMBER - FOOTHILLS NEPHROLOGY

Laboratory Demographics

  • CLIA Code: 42D1038531
  • Facility Name: FOOTHILLS NEPHROLOGY
  • Facility Address: 126 DILLON DR
    SPARTANBURG, SC
    ZIP 29307
  • Facility Phone: 864 327-1212
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES B. MURDOCK, MD
  • NPI Number: 1528025137
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D1038531
LAB Type Physician Office
Facility Name FOOTHILLS NEPHROLOGY
Street 126 DILLON DR
City SPARTANBURG
State SC
ZIP 29307
Phone 864 327-1212
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2025
Certificate Expiration Date 5/11/2027
Facility Type Physician Office
Lab Director CHARLES B. MURDOCK, MD

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