42D2285076 CLIA NUMBER - PRISMA HEALTH - MOBILE ADDICTION MEDICINE CLINIC

Laboratory Demographics

  • CLIA Code: 42D2285076
  • Facility Name: PRISMA HEALTH - MOBILE ADDICTION MEDICINE CLINIC
  • Facility Address: 876 W FARIS ROAD
    GREENVILLE, SC
    ZIP 29605
  • Facility Phone: 864 455-5648
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: MICHELLE L. STRONG
  • NPI Number: 1942756051
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 42D2285076
LAB Type Mobile Laboratory
Facility Name PRISMA HEALTH - MOBILE ADDICTION MEDICINE CLINIC
Street 876 W FARIS ROAD
City GREENVILLE
State SC
ZIP 29605
Phone 864 455-5648
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2025
Certificate Expiration Date 7/5/2027
Facility Type Mobile Laboratory
Lab Director MICHELLE L. STRONG

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