42D1105497 CLIA NUMBER - PRISMA HEALTH CYPRESS INTERNAL MEDICINE-GREER

Laboratory Demographics

  • CLIA Code: 42D1105497
  • Facility Name: PRISMA HEALTH CYPRESS INTERNAL MEDICINE-GREER
  • Facility Address: 325 MEDICAL PARKWAY, STE 200 ATTN LAB
    GREER, SC
    ZIP 29650
  • Facility Phone: 864 797-9550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DIVYA RAO
  • NPI Number: 1821760430
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 42D1105497
LAB Type Physician Office
Facility Name PRISMA HEALTH CYPRESS INTERNAL MEDICINE-GREER
Street 325 MEDICAL PARKWAY, STE 200 ATTN LAB
City GREER
State SC
ZIP 29650
Phone 864 797-9550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/24/2025
Certificate Expiration Date 9/23/2027
Facility Type Physician Office
Lab Director DR. DIVYA RAO

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