42D2238203 CLIA NUMBER - MEDASIC

Laboratory Demographics

  • CLIA Code: 42D2238203
  • Facility Name: MEDASIC
  • Facility Address: 10121 CLEMSON BLVD, SUITE A
    SENECA, SC
    ZIP 29678
  • Facility Phone: 864 479-0280
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RYAN SATTAR
  • NPI Number: 1922630912
  • Taxonomy: 101YA0400X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 42D2238203
LAB Type Physician Office
Facility Name MEDASIC
Street 10121 CLEMSON BLVD, SUITE A
City SENECA
State SC
ZIP 29678
Phone 864 479-0280
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Physician Office
Lab Director RYAN SATTAR

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