42D2174743 CLIA NUMBER - CENTERWELL SENIOR PRIMARY CARE - HOMELAND PARK

Laboratory Demographics

  • CLIA Code: 42D2174743
  • Facility Name: CENTERWELL SENIOR PRIMARY CARE - HOMELAND PARK
  • Facility Address: 108 HIGHWAY 28 BYPASS
    ANDERSON, SC
    ZIP 29624
  • Facility Phone: 864 772-8173
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERICA SAVAGE-JETER
  • NPI Number: 1285287482
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2174743
LAB Type Physician Office
Facility Name CENTERWELL SENIOR PRIMARY CARE - HOMELAND PARK
Street 108 HIGHWAY 28 BYPASS
City ANDERSON
State SC
ZIP 29624
Phone 864 772-8173
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Physician Office
Lab Director ERICA SAVAGE-JETER

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