42D1053001 CLIA NUMBER - PIEDMONT WOMEN'S CENTER

Laboratory Demographics

CLIA Number: 42D1053001

Facility Name: PIEDMONT WOMEN'S CENTER

Facility Address:
1143 GROVE RD
GREENVILLE, SC
ZIP 29605
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Facility Phone Number: 864 233-3823

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1861880742

Taxonomy: 305R00000X - Preferred Provider Organization
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

CLIA Record

Field Name	Field Value
CLIA Number	42D1053001
LAB Type	Community Clinic
Facility Name	PIEDMONT WOMEN'S CENTER
Street	1143 GROVE RD
City	GREENVILLE
State	SC
ZIP	29605
Phone	864 233-3823
CertificateType	3
CertificateEffectiveDate	3/8/2023
CertificateExpirationDate	3/7/2025
FacilityType	PPMP

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