42D2179782 CLIA NUMBER - INTERNAL MEDICINE SPECIALIST GROUP, LLC

Laboratory Demographics

  • CLIA Code: 42D2179782
  • Facility Name: INTERNAL MEDICINE SPECIALIST GROUP, LLC
  • Facility Address: 225 S HERLONG AVE SUITE 230
    ROCK HILL, SC
    ZIP 29732
  • Facility Phone: 803 366-3900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DEOVYAAS SHARMA
  • NPI Number: 1447312665
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2179782
LAB Type Physician Office
Facility Name INTERNAL MEDICINE SPECIALIST GROUP, LLC
Street 225 S HERLONG AVE SUITE 230
City ROCK HILL
State SC
ZIP 29732
Phone 803 366-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/2/2024
Certificate Expiration Date 3/1/2026
Facility Type Physician Office
Lab Director DEOVYAAS SHARMA

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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