42D2050992 CLIA NUMBER - PRISMA HEALTH BAPTIST EASLEY HOSPITAL O/P SERVICES MCP

Laboratory Demographics

  • CLIA Code: 42D2050992
  • Facility Name: PRISMA HEALTH BAPTIST EASLEY HOSPITAL O/P SERVICES MCP
  • Facility Address: 11404 ANDERSON ROAD SUITE B
    GREENVILLE, SC
    ZIP 29611
  • Facility Phone: 864 631-2799
  • Facility Type: Ancillary Testing Site in Health Care Center
  • Facility Type: Accreditation
  • Lab Director: DR. DANIEL A. ANDERSON
  • NPI Number: 1972186096
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2050992
LAB Type Ancillary Testing Site in Health Care Center
Facility Name PRISMA HEALTH BAPTIST EASLEY HOSPITAL O/P SERVICES MCP
Street 11404 ANDERSON ROAD SUITE B
City GREENVILLE
State SC
ZIP 29611
Phone 864 631-2799
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Ancillary Testing Site in Health Care Center
Lab Director DR. DANIEL A. ANDERSON

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