42D2193465 CLIA NUMBER - CLEMSON UNIVERSITY COVID - 19 CLIA LAB

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Laboratory Demographics

CLIA Number: 42D2193465

Facility Name: CLEMSON UNIVERSITY COVID - 19 CLIA LAB

Facility Address:
G35 SIRRINE HALL ATTN DELPHINE DEAN
CLEMSON, SC
ZIP 29634
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Facility Phone Number: 864 656-2611

Facility Type: School/Student Health Service

Certificate Type: Certificate of Compliance

NPI Number: 1376669184

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	42D2193465
LAB Type	School/Student Health Service
Facility Name	CLEMSON UNIVERSITY COVID - 19 CLIA LAB
Street	G35 SIRRINE HALL ATTN DELPHINE DEAN
City	CLEMSON
State	SC
ZIP	29634
Phone	864 656-2611
CertificateType	2
CertificateEffectiveDate	8/5/2021
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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This page was last updated on: 4/23/2024