42D1070626 CLIA NUMBER - OCONEE KIDNEY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 42D1070626
  • Facility Name: OCONEE KIDNEY CENTER, LLC
  • Facility Address: 107 OMNI DR STE B
    SENECA, SC
    ZIP 29672
  • Facility Phone: 864 885-7881
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KEVIN R. O'BRIEN
  • NPI Number: 1407242050
  • Taxonomy: 207RN0300X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D1070626
LAB Type Physician Office
Facility Name OCONEE KIDNEY CENTER, LLC
Street 107 OMNI DR STE B
City SENECA
State SC
ZIP 29672
Phone 864 885-7881
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/5/2025
Certificate Expiration Date 7/4/2027
Facility Type Physician Office
Lab Director KEVIN R. O'BRIEN

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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