42D2249109 CLIA NUMBER - VISIONS MEDICAL HEALTH CARE

Laboratory Demographics

CLIA Number: 42D2249109

Facility Name: VISIONS MEDICAL HEALTH CARE

Facility Address:
169 HAUL STREET
SPARTANBURG, SC
ZIP 29302
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Facility Phone Number: 864 358-9218

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1730667247

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D2249109
LAB Type	Practitioner Other
Facility Name	VISIONS MEDICAL HEALTH CARE
Street	169 HAUL STREET
City	SPARTANBURG
State	SC
ZIP	29302
Phone	864 358-9218
CertificateType	4
CertificateEffectiveDate	1/19/2024
CertificateExpirationDate	1/18/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024