42D2087310 CLIA NUMBER - NEW HORIZON FAMILY HEALTH SERVICES FARIS ROAD

Laboratory Demographics

CLIA Number: 42D2087310

Facility Name: NEW HORIZON FAMILY HEALTH SERVICES FARIS ROAD

Facility Address:
975 WEST FARIS ROAD
GREENVILLE, SC
ZIP 29605
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Facility Phone Number: 864 729-8330

Facility Type: Federally Qualified Health Center

Certificate Type: Microscopy

NPI Number: 1205949757

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 42D2087310
LAB Type Federally Qualified Health Center
Facility Name NEW HORIZON FAMILY HEALTH SERVICES FARIS ROAD
Street 975 WEST FARIS ROAD
City GREENVILLE
State SC
ZIP 29605
Phone 864 729-8330
CertificateType 3
CertificateEffectiveDate 10/30/2023
CertificateExpirationDate 10/29/2025
FacilityType PPMP

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