42D2286761 CLIA NUMBER - AIKEN PHYSICIAN ALLIANCE INTERNAL MEDICINE RESIDENCY CONTIUNITY CLINIC

Laboratory Demographics

  • CLIA Code: 42D2286761
  • Facility Name: AIKEN PHYSICIAN ALLIANCE INTERNAL MEDICINE RESIDENCY CONTIUNITY CLINIC
  • Facility Address: 410 UNIVERSITY PARKWAY SUITE 1550B
    AIKEN, SC
    ZIP 29801
  • Facility Phone: 803 599-8599
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KHALID ABUSAADA
  • NPI Number: 1972882389
  • Taxonomy: 207P00000X - Emergency Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2286761
LAB Type Physician Office
Facility Name AIKEN PHYSICIAN ALLIANCE INTERNAL MEDICINE RESIDENCY CONTIUNITY CLINIC
Street 410 UNIVERSITY PARKWAY SUITE 1550B
City AIKEN
State SC
ZIP 29801
Phone 803 599-8599
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/3/2025
Certificate Expiration Date 8/2/2027
Facility Type Physician Office
Lab Director KHALID ABUSAADA

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