42D2165627 CLIA NUMBER - CLEMSON HERITAGE SENIOR LIVING

Laboratory Demographics

  • CLIA Code: 42D2165627
  • Facility Name: CLEMSON HERITAGE SENIOR LIVING
  • Facility Address: 140 CAMBRIDGE DRIVE
    CLEMSON, SC
    ZIP 29631
  • Facility Phone: 864 315-0158
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: NATHANIEL NAUSS
  • NPI Number: 1003879032
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2165627
LAB Type Assisted Living Facility
Facility Name CLEMSON HERITAGE SENIOR LIVING
Street 140 CAMBRIDGE DRIVE
City CLEMSON
State SC
ZIP 29631
Phone 864 315-0158
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/2/2025
Certificate Expiration Date 5/1/2027
Facility Type Assisted Living Facility
Lab Director NATHANIEL NAUSS

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