42D2137648 CLIA NUMBER - PICKENS COUNTY

Laboratory Demographics

  • CLIA Code: 42D2137648
  • Facility Name: PICKENS COUNTY
  • Facility Address: 222 MCDANIEL AVENUE
    PICKENS, SC
    ZIP 29671
  • Facility Phone: 864 898-5829
  • Facility Type: Other - EMPLOYEE CORP. CLINIC
  • Facility Type: Waiver
  • Lab Director: KEN ROPER
  • NPI Number: 1649268798
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D2137648
LAB Type Other - EMPLOYEE CORP. CLINIC
Facility Name PICKENS COUNTY
Street 222 MCDANIEL AVENUE
City PICKENS
State SC
ZIP 29671
Phone 864 898-5829
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Other - EMPLOYEE CORP. CLINIC
Lab Director KEN ROPER

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