42D2206111 CLIA NUMBER - ANDERSON SCHOOL DISTRICT 4

Laboratory Demographics

  • CLIA Code: 42D2206111
  • Facility Name: ANDERSON SCHOOL DISTRICT 4
  • Facility Address: 315 E QUEEN STREET
    PENDLETON, SC
    ZIP 29670
  • Facility Phone: 864 403-2508
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: FELICIA BERKELEY
  • NPI Number: 1104252584
  • Taxonomy: 163W00000X - Registered Nurse

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CLIA Record

Field Name Field Value
CLIA Number 42D2206111
LAB Type School/Student Health Service
Facility Name ANDERSON SCHOOL DISTRICT 4
Street 315 E QUEEN STREET
City PENDLETON
State SC
ZIP 29670
Phone 864 403-2508
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type School/Student Health Service
Lab Director FELICIA BERKELEY

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