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

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Laboratory Demographics

CLIA Number: 42D2050992

Facility Name: PRISMA HEALTH BAPTIST EASLEY HOSPITAL O/P SERVICES MCP

Facility Address:
11402 ANDERSON ROAD
GREENVILLE, SC
ZIP 29611
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Facility Phone Number: 864 631-2799

Facility Type: Ancillary Testing Site in Health Care Center

Certificate Type: Accreditation

NPI Number: 1972186096

Taxonomy: 261QR1300X - Clinic/Center

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	11402 ANDERSON ROAD
City	GREENVILLE
State	SC
ZIP	29611
Phone	864 631-2799
CertificateType	1
CertificateEffectiveDate	5/8/2023
CertificateExpirationDate	5/7/2025
FacilityType	Accreditation

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