42D2288908 CLIA NUMBER - PRISMA HEALTH - PEDIATRICS VERDAE

Laboratory Demographics

  • CLIA Code: 42D2288908
  • Facility Name: PRISMA HEALTH - PEDIATRICS VERDAE
  • Facility Address: 905 VERDAE BLVD, SUITE 102
    GREENVILLE, SC
    ZIP 29607
  • Facility Phone: 864 522-6000
  • Facility Type: Community Clinic
  • Facility Type: Waiver
  • Lab Director: GEORGE C. HADDAD
  • NPI Number: 1396207221
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 42D2288908
LAB Type Community Clinic
Facility Name PRISMA HEALTH - PEDIATRICS VERDAE
Street 905 VERDAE BLVD, SUITE 102
City GREENVILLE
State SC
ZIP 29607
Phone 864 522-6000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2025
Certificate Expiration Date 8/31/2027
Facility Type Community Clinic
Lab Director GEORGE C. HADDAD

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