42D2240579 CLIA NUMBER - EVERSIDE HEALTH CENTER- MICHELIN - DONALDSON

Laboratory Demographics

  • CLIA Code: 42D2240579
  • Facility Name: EVERSIDE HEALTH CENTER- MICHELIN - DONALDSON
  • Facility Address: 525 MICHELIN ROAD
    GREENVILLE, SC
    ZIP 29605
  • Facility Phone: 704 936-5546
  • Facility Type: Other - CHRONIC DISEASE MGT
  • Facility Type: Waiver
  • Lab Director: MEAGHANN BERNARDY
  • NPI Number: 1134896897
  • Taxonomy: 2083P0500X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2240579
LAB Type Other - CHRONIC DISEASE MGT
Facility Name EVERSIDE HEALTH CENTER- MICHELIN - DONALDSON
Street 525 MICHELIN ROAD
City GREENVILLE
State SC
ZIP 29605
Phone 704 936-5546
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/20/2025
Certificate Expiration Date 10/19/2027
Facility Type Other - CHRONIC DISEASE MGT
Lab Director MEAGHANN BERNARDY

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