42D1075868 CLIA NUMBER - PIEDMONT CARE INC

Laboratory Demographics

  • CLIA Code: 42D1075868
  • Facility Name: PIEDMONT CARE INC
  • Facility Address: 101 NORTH PINE STREET
    SPARTANBURG, SC
    ZIP 29302
  • Facility Phone: (864) 582-7773
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: TRACEY L. JACKSON
  • NPI Number: 1114403342
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D1075868
LAB Type Independent
Facility Name PIEDMONT CARE INC
Street 101 NORTH PINE STREET
City SPARTANBURG
State SC
ZIP 29302
Phone 8645827773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2025
Certificate Expiration Date 10/30/2027
Facility Type Independent
Lab Director TRACEY L. JACKSON

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This page was last updated on: 5/18/2026