42D1106525 CLIA NUMBER - ASSOCIATE FAMILY PHARMACY

Laboratory Demographics

  • CLIA Code: 42D1106525
  • Facility Name: ASSOCIATE FAMILY PHARMACY
  • Facility Address: 415 BROCKMAN MCCLIMON RD, SUITE B
    GREER, SC
    ZIP 29651
  • Facility Phone: 866 817-0411
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: TIMOTHY SISK
  • NPI Number: 1487781217
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D1106525
LAB Type Pharmacy
Facility Name ASSOCIATE FAMILY PHARMACY
Street 415 BROCKMAN MCCLIMON RD, SUITE B
City GREER
State SC
ZIP 29651
Phone 866 817-0411
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2023
Certificate Expiration Date 11/11/2025
Facility Type Pharmacy
Lab Director TIMOTHY SISK

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