42D2085330 CLIA NUMBER - PALMETTO BONE AND JOINT

Laboratory Demographics

  • CLIA Code: 42D2085330
  • Facility Name: PALMETTO BONE AND JOINT
  • Facility Address: 22971 HWY 76 E
    CLINTON, SC
    ZIP 29325
  • Facility Phone: 864 833-3046
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GIRIDHAR GUNDU
  • NPI Number: 1720295793
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 42D2085330
LAB Type Physician Office
Facility Name PALMETTO BONE AND JOINT
Street 22971 HWY 76 E
City CLINTON
State SC
ZIP 29325
Phone 864 833-3046
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director GIRIDHAR GUNDU

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