42D1056130 CLIA NUMBER - UPSTATE PLASTIC SURGERY SURGERY CENTER ON THE PARKWAY

Laboratory Demographics

  • CLIA Code: 42D1056130
  • Facility Name: UPSTATE PLASTIC SURGERY SURGERY CENTER ON THE PARKWAY
  • Facility Address: 301 THE PARKWAY
    GREER, SC
    ZIP 29650
  • Facility Phone: 864 968-0168
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: DR. ELIZABETH R. BLAKEMORE
  • NPI Number: 1013075712
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 42D1056130
LAB Type Ambulatory Surgery Center
Facility Name UPSTATE PLASTIC SURGERY SURGERY CENTER ON THE PARKWAY
Street 301 THE PARKWAY
City GREER
State SC
ZIP 29650
Phone 864 968-0168
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/7/2024
Certificate Expiration Date 7/6/2026
Facility Type Ambulatory Surgery Center
Lab Director DR. ELIZABETH R. BLAKEMORE

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