42D2279949 CLIA NUMBER - ANMED OBGYN - FANT STREET

Laboratory Demographics

  • CLIA Code: 42D2279949
  • Facility Name: ANMED OBGYN - FANT STREET
  • Facility Address: 803 N FANT STREET #1A
    ANDERSON, SC
    ZIP 29621
  • Facility Phone: 864 512-8240
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MICHELLE L. TUCKER
  • NPI Number: 1972544799
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 42D2279949
LAB Type Physician Office
Facility Name ANMED OBGYN - FANT STREET
Street 803 N FANT STREET #1A
City ANDERSON
State SC
ZIP 29621
Phone 864 512-8240
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 4/11/2025
Certificate Expiration Date 4/10/2027
Facility Type Physician Office
Lab Director DR. MICHELLE L. TUCKER

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