42D2133976 CLIA NUMBER - PRISMA HEALTH FAMILY MEDICINE - WALHALLA

Laboratory Demographics

  • CLIA Code: 42D2133976
  • Facility Name: PRISMA HEALTH FAMILY MEDICINE - WALHALLA
  • Facility Address: 103 WHITETAIL DRIVE
    WALHALLA, SC
    ZIP 29691
  • Facility Phone: 864 638-3444
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: HOLLY MUNSON
  • NPI Number: 1043857998
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2133976
LAB Type Physician Office
Facility Name PRISMA HEALTH FAMILY MEDICINE - WALHALLA
Street 103 WHITETAIL DRIVE
City WALHALLA
State SC
ZIP 29691
Phone 864 638-3444
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 9/12/2024
Certificate Expiration Date 9/11/2026
Facility Type Physician Office
Lab Director HOLLY MUNSON

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This page was last updated on: 3/20/2025