42D2120137 CLIA NUMBER - AIKEN PROFESSIONAL ASSOCIATION, LLC

Laboratory Demographics

  • CLIA Code: 42D2120137
  • Facility Name: AIKEN PROFESSIONAL ASSOCIATION, LLC
  • Facility Address: 124 BETTIS ACADEMY ROAD
    GRANITEVILLE, SC
    ZIP 29829
  • Facility Phone: 803 392-3724
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SUMITA JAIN
  • NPI Number: 1457825846
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2120137
LAB Type Physician Office
Facility Name AIKEN PROFESSIONAL ASSOCIATION, LLC
Street 124 BETTIS ACADEMY ROAD
City GRANITEVILLE
State SC
ZIP 29829
Phone 803 392-3724
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Physician Office
Lab Director SUMITA JAIN

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