42D2238211 CLIA NUMBER - DIRECT ACCESS MD, LLC

Laboratory Demographics

  • CLIA Code: 42D2238211
  • Facility Name: DIRECT ACCESS MD, LLC
  • Facility Address: 1208 ELLA STREET
    ANDERSON, SC
    ZIP 29621
  • Facility Phone: (864) 965-9150
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JERRY S. PURCELL
  • NPI Number: 1740760560
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2238211
LAB Type Physician Office
Facility Name DIRECT ACCESS MD, LLC
Street 1208 ELLA STREET
City ANDERSON
State SC
ZIP 29621
Phone 8649659150
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 JERRY S. PURCELL

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This page was last updated on: 5/18/2026