42D2155238 CLIA NUMBER - PRISMA HEALTH ADOLESCENT MEDICINE - GREENVILLE

Laboratory Demographics

  • CLIA Code: 42D2155238
  • Facility Name: PRISMA HEALTH ADOLESCENT MEDICINE - GREENVILLE
  • Facility Address: 1350 CLEVELAND STREET
    GREENVILLE, SC
    ZIP 29607
  • Facility Phone: 864 522-4888
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MICHAEL F. GUYTON
  • NPI Number: 1275086431
  • Taxonomy: 261QS1200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2155238
LAB Type Physician Office
Facility Name PRISMA HEALTH ADOLESCENT MEDICINE - GREENVILLE
Street 1350 CLEVELAND STREET
City GREENVILLE
State SC
ZIP 29607
Phone 864 522-4888
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 9/25/2024
Certificate Expiration Date 9/24/2026
Facility Type Physician Office
Lab Director DR. MICHAEL F. GUYTON

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