42D2017334 CLIA NUMBER - RIVERBARK INC DBA NANCY M NETTER, MD

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Laboratory Demographics

CLIA Number: 42D2017334

Facility Name: RIVERBARK INC DBA NANCY M NETTER, MD

Facility Address:
9 BUENA VISTA WAY
GREENVILLE, SC
ZIP 29615
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Facility Phone Number: 864 990-1825

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1538497474

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D2017334
LAB Type	Physician Office
Facility Name	RIVERBARK INC DBA NANCY M NETTER, MD
Street	9 BUENA VISTA WAY
City	GREENVILLE
State	SC
ZIP	29615
Phone	864 990-1825
CertificateType	4
CertificateEffectiveDate	12/9/2022
CertificateExpirationDate	12/8/2024
FacilityType	Waiver

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