42D2130319 CLIA NUMBER - COOKE'S CONTINENCE CENTER & UROGYNECOLOGY

Laboratory Demographics

  • CLIA Code: 42D2130319
  • Facility Name: COOKE'S CONTINENCE CENTER & UROGYNECOLOGY
  • Facility Address: 330C PELHAM ROAD, SUITE B
    GREENVILLE, SC
    ZIP 29615
  • Facility Phone: 864 609-7830
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: SHANNON M. COOKE
  • NPI Number: 1023557485
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2130319
LAB Type Physician Office
Facility Name COOKE'S CONTINENCE CENTER & UROGYNECOLOGY
Street 330C PELHAM ROAD, SUITE B
City GREENVILLE
State SC
ZIP 29615
Phone 864 609-7830
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/8/2025
Certificate Expiration Date 5/7/2027
Facility Type Physician Office
Lab Director SHANNON M. COOKE

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