42D1090714 CLIA NUMBER - COMMUNITY INITIATIVES, INC- CLINICA GRATIS

Laboratory Demographics

  • CLIA Code: 42D1090714
  • Facility Name: COMMUNITY INITIATIVES, INC- CLINICA GRATIS
  • Facility Address: 301 N HOSPITAL STREET
    GREENWOOD, SC
    ZIP 29646
  • Facility Phone: 864 223-7472
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: LESLIE M. MYERS
  • NPI Number: 1235502808
  • Taxonomy: 251V00000X - Voluntary or Charitable

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D1090714
LAB Type Other
Facility Name COMMUNITY INITIATIVES, INC- CLINICA GRATIS
Street 301 N HOSPITAL STREET
City GREENWOOD
State SC
ZIP 29646
Phone 864 223-7472
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/17/2024
Certificate Expiration Date 10/16/2026
Facility Type Other
Lab Director LESLIE M. MYERS

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