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42D2266413 CLIA NUMBER - GREENVILLE ENDOSCOPY CENTER AT HALTON ROAD

Laboratory Demographics

CLIA Number: 42D2266413

Facility Name: GREENVILLE ENDOSCOPY CENTER AT HALTON ROAD

Facility Address:
125 HALTON ROAD, SUITE 100
GREENVILLE, SC
ZIP 29615
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Facility Phone Number: 864 451-5210

Facility Type: Ambulatory Surgery Center

Certificate Type: Waiver
NPI Number: 1689624900

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name Field Value
CLIA Number 42D2266413
LAB Type Ambulatory Surgery Center
Facility Name GREENVILLE ENDOSCOPY CENTER AT HALTON ROAD
Street 125 HALTON ROAD, SUITE 100
City GREENVILLE
State SC
ZIP 29615
Phone 864 451-5210
CertificateType 4
CertificateEffectiveDate 8/10/2022
CertificateExpirationDate 8/9/2024
FacilityType Waiver

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