42D2221177 CLIA NUMBER - FULL CIRCLE CARE

Laboratory Demographics

  • CLIA Code: 42D2221177
  • Facility Name: FULL CIRCLE CARE
  • Facility Address: 1132 SPRING STREET
    GREENWOOD, SC
    ZIP 29646
  • Facility Phone: 864 725-1680
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KATHERINE JOHNSON
  • NPI Number: 1457943185
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2221177
LAB Type Physician Office
Facility Name FULL CIRCLE CARE
Street 1132 SPRING STREET
City GREENWOOD
State SC
ZIP 29646
Phone 864 725-1680
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/20/2025
Certificate Expiration Date 4/19/2027
Facility Type Physician Office
Lab Director DR. KATHERINE JOHNSON

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