42D2287259 CLIA NUMBER - NEWBERRY MEDICAL CENTER AT NEWBERRY COLLEGE

Laboratory Demographics

CLIA Number: 42D2287259

Facility Name: NEWBERRY MEDICAL CENTER AT NEWBERRY COLLEGE

Facility Address:
1910A COLLEGE STREET
NEWBERRY, SC
ZIP 29108
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Facility Phone Number: 803 405-7420

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1831140094

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	42D2287259
LAB Type	Community Clinic
Facility Name	NEWBERRY MEDICAL CENTER AT NEWBERRY COLLEGE
Street	1910A COLLEGE STREET
City	NEWBERRY
State	SC
ZIP	29108
Phone	803 405-7420
CertificateType	4
CertificateEffectiveDate	8/11/2023
CertificateExpirationDate	8/10/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024