42D1054731 CLIA NUMBER - GASTROENTEROLOGY ASSOCIATES PA

Laboratory Demographics

CLIA Number: 42D1054731

Facility Name: GASTROENTEROLOGY ASSOCIATES PA

Facility Address:
125 HALTON ROAD, SUITE 200
GREENVILLE, SC
ZIP 29607
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Facility Phone Number: 864 232-7338

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1457395295

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name Field Value
CLIA Number 42D1054731
LAB Type Physician Office
Facility Name GASTROENTEROLOGY ASSOCIATES PA
Street 125 HALTON ROAD, SUITE 200
City GREENVILLE
State SC
ZIP 29607
Phone 864 232-7338
CertificateType 2
CertificateEffectiveDate 8/12/2022
CertificateExpirationDate 8/11/2024
FacilityType Compliance

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