Healther Providers Data Logo

42D1101393 CLIA NUMBER - MEDICAL GROUP OF THE CAROLINAS - COOPER STANDARD AUTOMOTIVE

Laboratory Demographics

CLIA Number: 42D1101393

Facility Name: MEDICAL GROUP OF THE CAROLINAS - COOPER STANDARD AUTOMOTIVE

Facility Address:
100 QUALITY WAY
BOILING SPRINGS, SC
ZIP 29316
Get Directions

Facility Phone Number: 864 327-4327

Facility Type: Other - ONSITE CLINIC

Certificate Type: Waiver
NPI Number: 1235170077

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name Field Value
CLIA Number 42D1101393
LAB Type Other - ONSITE CLINIC
Facility Name MEDICAL GROUP OF THE CAROLINAS - COOPER STANDARD AUTOMOTIVE
Street 100 QUALITY WAY
City BOILING SPRINGS
State SC
ZIP 29316
Phone 864 327-4327
CertificateType 4
CertificateEffectiveDate 6/26/2023
CertificateExpirationDate 6/25/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024