42D2290843 CLIA NUMBER - GREENVILLE SURGERY CENTER, LP DBA EHA SURGERY CENTER SENECA

Laboratory Demographics

  • CLIA Code: 42D2290843
  • Facility Name: GREENVILLE SURGERY CENTER, LP DBA EHA SURGERY CENTER SENECA
  • Facility Address: 322 UNION STATION DRIVE, SUITE 202
    SENECA, SC
    ZIP 29678
  • Facility Phone: 864 986-0085
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: KELLY GRADY
  • NPI Number: 1407558703
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2290843
LAB Type Ambulatory Surgery Center
Facility Name GREENVILLE SURGERY CENTER, LP DBA EHA SURGERY CENTER SENECA
Street 322 UNION STATION DRIVE, SUITE 202
City SENECA
State SC
ZIP 29678
Phone 864 986-0085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2025
Certificate Expiration Date 10/1/2027
Facility Type Ambulatory Surgery Center
Lab Director KELLY GRADY

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