42D1077094 CLIA NUMBER - ANMED PRIMARY CARE - PENDLETON

Laboratory Demographics

  • CLIA Code: 42D1077094
  • Facility Name: ANMED PRIMARY CARE - PENDLETON
  • Facility Address: 1005 MEEHAN WAY
    PENDLETON, SC
    ZIP 29670
  • Facility Phone: 864 542-5783
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. ROBERT L. ALLMAN
  • NPI Number: 1861675456
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D1077094
LAB Type Physician Office
Facility Name ANMED PRIMARY CARE - PENDLETON
Street 1005 MEEHAN WAY
City PENDLETON
State SC
ZIP 29670
Phone 864 542-5783
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 11/30/2023
Certificate Expiration Date 11/29/2025
Facility Type Physician Office
Lab Director DR. ROBERT L. ALLMAN

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