42D2282824 CLIA NUMBER - SPARTANBURG DAY SCHOOL

Laboratory Demographics

  • CLIA Code: 42D2282824
  • Facility Name: SPARTANBURG DAY SCHOOL
  • Facility Address: 1701 SKYLYN DRIVE
    SPARTANBURG, SC
    ZIP 29307
  • Facility Phone: 864 582-7539
  • Facility Type: School/Student Health Service
  • Facility Type: Waiver
  • Lab Director: JONATHAN G. GREEN
  • NPI Number: 1174581391
  • Taxonomy: 208200000X - Plastic Surgery

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CLIA Record

Field Name Field Value
CLIA Number 42D2282824
LAB Type School/Student Health Service
Facility Name SPARTANBURG DAY SCHOOL
Street 1701 SKYLYN DRIVE
City SPARTANBURG
State SC
ZIP 29307
Phone 864 582-7539
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/26/2025
Certificate Expiration Date 5/25/2027
Facility Type School/Student Health Service
Lab Director JONATHAN G. GREEN

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