42D2189829 CLIA NUMBER - CAROLINA SPECIALTY EYE SURGERY,LLC

Laboratory Demographics

  • CLIA Code: 42D2189829
  • Facility Name: CAROLINA SPECIALTY EYE SURGERY,LLC
  • Facility Address: 1530 BOILING SPRINGS RD
    BOILING SPRINGS, SC
    ZIP 29316
  • Facility Phone: 864 583-6381
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: BILLY J. HAGUEWOOD
  • NPI Number: 1447870688
  • Taxonomy: 261QS0132X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2189829
LAB Type Ambulatory Surgery Center
Facility Name CAROLINA SPECIALTY EYE SURGERY,LLC
Street 1530 BOILING SPRINGS RD
City BOILING SPRINGS
State SC
ZIP 29316
Phone 864 583-6381
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Ambulatory Surgery Center
Lab Director BILLY J. HAGUEWOOD

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