42D2285262 CLIA NUMBER - ANMED YOUNG ADULT PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 42D2285262
  • Facility Name: ANMED YOUNG ADULT PRIMARY CARE
  • Facility Address: 3501-1 CLEMSON BLVD
    ANDERSON, SC
    ZIP 29621
  • Facility Phone: 864 512-3452
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: GREGORY P. NIX
  • NPI Number: 1285324582
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2285262
LAB Type Physician Office
Facility Name ANMED YOUNG ADULT PRIMARY CARE
Street 3501-1 CLEMSON BLVD
City ANDERSON
State SC
ZIP 29621
Phone 864 512-3452
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 7/10/2025
Certificate Expiration Date 7/9/2027
Facility Type Physician Office
Lab Director GREGORY P. NIX

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