42D2241678 CLIA NUMBER - ANMED PRIMARY CARE - CENTRAL

Laboratory Demographics

  • CLIA Code: 42D2241678
  • Facility Name: ANMED PRIMARY CARE - CENTRAL
  • Facility Address: 1035 W MAIN STREET
    CENTRAL, SC
    ZIP 29630
  • Facility Phone: 864 512-7740
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. LOGAN BRENK
  • NPI Number: 1659045532
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2241678
LAB Type Physician Office
Facility Name ANMED PRIMARY CARE - CENTRAL
Street 1035 W MAIN STREET
City CENTRAL
State SC
ZIP 29630
Phone 864 512-7740
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/1/2024
Certificate Expiration Date 7/31/2026
Facility Type Physician Office
Lab Director DR. LOGAN BRENK

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