42D1089115 CLIA NUMBER - OAKVIEW MEDICAL ASSOCIATES, LLC

Laboratory Demographics

  • CLIA Code: 42D1089115
  • Facility Name: OAKVIEW MEDICAL ASSOCIATES, LLC
  • Facility Address: 11 FIVE FORKS PLAZA COURT, SUITE A
    SIMPSONVILLE, SC
    ZIP 29681
  • Facility Phone: 864 627-0444
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: NIVEDITA S. BIJOOR
  • NPI Number: 1104086818
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D1089115
LAB Type Physician Office
Facility Name OAKVIEW MEDICAL ASSOCIATES, LLC
Street 11 FIVE FORKS PLAZA COURT, SUITE A
City SIMPSONVILLE
State SC
ZIP 29681
Phone 864 627-0444
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 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Physician Office
Lab Director NIVEDITA S. BIJOOR

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