42D2201190 CLIA NUMBER - ITRUST WELLNESS GROUP

Laboratory Demographics

  • CLIA Code: 42D2201190
  • Facility Name: ITRUST WELLNESS GROUP
  • Facility Address: 117 COMMONS WAY
    GREENVILLE, SC
    ZIP 29611
  • Facility Phone: 864 520-2020
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEVEN L. KROZER
  • NPI Number: 1184228413
  • Taxonomy: 2084P0800X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 42D2201190
LAB Type Physician Office
Facility Name ITRUST WELLNESS GROUP
Street 117 COMMONS WAY
City GREENVILLE
State SC
ZIP 29611
Phone 864 520-2020
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/19/2024
Certificate Expiration Date 11/18/2026
Facility Type Physician Office
Lab Director STEVEN L. KROZER

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