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42D2288908 CLIA NUMBER - PRISMA HEALTH - PEDIATRICS VERDAE

Laboratory Demographics

CLIA Number: 42D2288908

Facility Name: PRISMA HEALTH - PEDIATRICS VERDAE

Facility Address:
905 VERDAE BLVD, SUITE 102
GREENVILLE, SC
ZIP 29607
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Facility Phone Number: 864 522-6000

Facility Type: Other - HOSPITAL-BASED OUTPT DEPT

Certificate Type: Waiver
NPI Number: 1396207221

Taxonomy: 282N00000X - General Acute Care Hospital
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

CLIA Record

Field Name Field Value
CLIA Number 42D2288908
LAB Type Other - HOSPITAL-BASED OUTPT DEPT
Facility Name PRISMA HEALTH - PEDIATRICS VERDAE
Street 905 VERDAE BLVD, SUITE 102
City GREENVILLE
State SC
ZIP 29607
Phone 864 522-6000
CertificateType 4
CertificateEffectiveDate 9/1/2023
CertificateExpirationDate 8/31/2025
FacilityType Waiver

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