42D2092416 CLIA NUMBER - PALMETTO BONE AND JOINT

Laboratory Demographics

  • CLIA Code: 42D2092416
  • Facility Name: PALMETTO BONE AND JOINT
  • Facility Address: 2605 KINARD STREET, SUITE 105
    NEWBERRY, SC
    ZIP 29108
  • Facility Phone: 803 321-6254
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GIRIDHAR GUNDU
  • NPI Number: 1104472109
  • Taxonomy: 207X00000X - Orthopaedic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 42D2092416
LAB Type Physician Office
Facility Name PALMETTO BONE AND JOINT
Street 2605 KINARD STREET, SUITE 105
City NEWBERRY
State SC
ZIP 29108
Phone 803 321-6254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/4/2025
Certificate Expiration Date 3/3/2027
Facility Type Physician Office
Lab Director GIRIDHAR GUNDU

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