42D2129524 CLIA NUMBER - FOOTHILLS BARIATRIC AND WELLNESS CENTER

Laboratory Demographics

  • CLIA Code: 42D2129524
  • Facility Name: FOOTHILLS BARIATRIC AND WELLNESS CENTER
  • Facility Address: 5284 SUITE K CALHOUN MEMORIAL HIGHWAY
    EASLEY, SC
    ZIP 29640
  • Facility Phone: 864 855-0336
  • Facility Type: Other - WEIGHTLOSS, WELLNESS PAIN
  • Facility Type: Waiver
  • Lab Director: MICHELE T. HENDRICKS
  • NPI Number: 1982699179
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2129524
LAB Type Other - WEIGHTLOSS, WELLNESS PAIN
Facility Name FOOTHILLS BARIATRIC AND WELLNESS CENTER
Street 5284 SUITE K CALHOUN MEMORIAL HIGHWAY
City EASLEY
State SC
ZIP 29640
Phone 864 855-0336
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Other - WEIGHTLOSS, WELLNESS PAIN
Lab Director MICHELE T. HENDRICKS

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