42D2270955 CLIA NUMBER - PROACTIVE MD GREER HEALTH CENTER

Laboratory Demographics

  • CLIA Code: 42D2270955
  • Facility Name: PROACTIVE MD GREER HEALTH CENTER
  • Facility Address: 501 MEMORIAL DRIVE, EXT, SUITE B
    GREER, SC
    ZIP 29651
  • Facility Phone: 864 874-6550
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: DR. DOUGLAS WHITEHEAD
  • NPI Number: 1265153233
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2270955
LAB Type Practitioner Other
Facility Name PROACTIVE MD GREER HEALTH CENTER
Street 501 MEMORIAL DRIVE, EXT, SUITE B
City GREER
State SC
ZIP 29651
Phone 864 874-6550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/25/2024
Certificate Expiration Date 10/24/2026
Facility Type Practitioner Other
Lab Director DR. DOUGLAS WHITEHEAD

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