42D1098380 CLIA NUMBER - YORK COUNTY OUTPATIENT ENDOSCOPY CENTER, LLC

Laboratory Demographics

  • CLIA Code: 42D1098380
  • Facility Name: YORK COUNTY OUTPATIENT ENDOSCOPY CENTER, LLC
  • Facility Address: 164 GLENWOOD DRIVE
    ROCK HILL, SC
    ZIP 29732
  • Facility Phone: 803 325-9010
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BRET GARRETSON
  • NPI Number: 1003058744
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D1098380
LAB Type Ambulatory Surgery Center
Facility Name YORK COUNTY OUTPATIENT ENDOSCOPY CENTER, LLC
Street 164 GLENWOOD DRIVE
City ROCK HILL
State SC
ZIP 29732
Phone 803 325-9010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/17/2025
Certificate Expiration Date 4/16/2027
Facility Type Ambulatory Surgery Center
Lab Director BRET GARRETSON

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