42D2137773 CLIA NUMBER - CARE TEAM HEALTH, SC-PC/TIETEX CORPORATION

Laboratory Demographics

  • CLIA Code: 42D2137773
  • Facility Name: CARE TEAM HEALTH, SC-PC/TIETEX CORPORATION
  • Facility Address: 3010 N BLACKSTOCK RD
    SPARTANBURG, SC
    ZIP 29301
  • Facility Phone: 918 779-7471
  • Facility Type: Other - HEALTH CENTER
  • Facility Type: Waiver
  • Lab Director: TESSA KINGSLAND
  • NPI Number: 1346897584
  • Taxonomy: 2083X0100X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2137773
LAB Type Other - HEALTH CENTER
Facility Name CARE TEAM HEALTH, SC-PC/TIETEX CORPORATION
Street 3010 N BLACKSTOCK RD
City SPARTANBURG
State SC
ZIP 29301
Phone 918 779-7471
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2025
Certificate Expiration Date 10/2/2027
Facility Type Other - HEALTH CENTER
Lab Director TESSA KINGSLAND

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