42D2194002 CLIA NUMBER - FURMAN UNIVERSITY SPORTS MEDICINE

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Laboratory Demographics

CLIA Number: 42D2194002

Facility Name: FURMAN UNIVERSITY SPORTS MEDICINE

Facility Address:
3300 POINSETT HIGHWAY FURMAN UNIVERSITY SPORTS MED (PEARCE-HORTON)
GREENVILLE, SC
ZIP 29613
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Facility Phone Number: 864 294-3532

Facility Type: Other - MED TESTING IN SPORTS STA

Certificate Type: Waiver

NPI Number: 1346393733

Taxonomy: 261QR0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D2194002
LAB Type	Other - MED TESTING IN SPORTS STA
Facility Name	FURMAN UNIVERSITY SPORTS MEDICINE
Street	3300 POINSETT HIGHWAY FURMAN UNIVERSITY SPORTS MED (PEARCE-HORTON)
City	GREENVILLE
State	SC
ZIP	29613
Phone	864 294-3532
CertificateType	4
CertificateEffectiveDate	9/28/2022
CertificateExpirationDate	9/27/2024
FacilityType	Waiver

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