42D2120016 CLIA NUMBER - OUTZ MEDICAL

Laboratory Demographics

  • CLIA Code: 42D2120016
  • Facility Name: OUTZ MEDICAL
  • Facility Address: 3150 HWY 153
    PIEDMONT, SC
    ZIP 29673
  • Facility Phone: 864 220-0103
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHARLES W. OUTZ JR
  • NPI Number: 1942669981
  • Taxonomy: 208D00000X - General Practice

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CLIA Record

Field Name Field Value
CLIA Number 42D2120016
LAB Type Physician Office
Facility Name OUTZ MEDICAL
Street 3150 HWY 153
City PIEDMONT
State SC
ZIP 29673
Phone 864 220-0103
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 CHARLES W. OUTZ JR

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