42D2284339 CLIA NUMBER - BEVID MEDICAL LLC

Laboratory Demographics

  • CLIA Code: 42D2284339
  • Facility Name: BEVID MEDICAL LLC
  • Facility Address: 324 N PINE STREET, SUITE A
    SPARTANBURG, SC
    ZIP 29302
  • Facility Phone: 864 266-3176
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OMAR DANIELS
  • NPI Number: 1104522846
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2284339
LAB Type Physician Office
Facility Name BEVID MEDICAL LLC
Street 324 N PINE STREET, SUITE A
City SPARTANBURG
State SC
ZIP 29302
Phone 864 266-3176
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/21/2025
Certificate Expiration Date 6/20/2027
Facility Type Physician Office
Lab Director OMAR DANIELS

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