42D2309744 CLIA NUMBER - CALHOUN TESTING SERVICES 2

Laboratory Demographics

  • CLIA Code: 42D2309744
  • Facility Name: CALHOUN TESTING SERVICES 2
  • Facility Address: 100 MIRACLE MILE DR, SUITE D
    ANDERSON, SC
    ZIP 29621
  • Facility Phone: 864 387-7123
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: SHADIYA JOHNSON
  • NPI Number: 1902648504
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 42D2309744
LAB Type Independent
Facility Name CALHOUN TESTING SERVICES 2
Street 100 MIRACLE MILE DR, SUITE D
City ANDERSON
State SC
ZIP 29621
Phone 864 387-7123
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2024
Certificate Expiration Date 8/19/2026
Facility Type Independent
Lab Director SHADIYA JOHNSON

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