42D2069621 CLIA NUMBER - SOUTHERN EYE ASSOCIATES OF SOUTH CAROLINA, PA

Laboratory Demographics

  • CLIA Code: 42D2069621
  • Facility Name: SOUTHERN EYE ASSOCIATES OF SOUTH CAROLINA, PA
  • Facility Address: 100 PHYSICIANS DRIVE
    GREER, SC
    ZIP 29650
  • Facility Phone: 864 269-3333
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KURT F. HEITMAN
  • NPI Number: 1093106668
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 42D2069621
LAB Type Physician Office
Facility Name SOUTHERN EYE ASSOCIATES OF SOUTH CAROLINA, PA
Street 100 PHYSICIANS DRIVE
City GREER
State SC
ZIP 29650
Phone 864 269-3333
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/27/2023
Certificate Expiration Date 11/26/2025
Facility Type Physician Office
Lab Director KURT F. HEITMAN

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