42D2311767 CLIA NUMBER - EASLEY COMPREHENSIVE TREATMENT CENTER

Laboratory Demographics

  • CLIA Code: 42D2311767
  • Facility Name: EASLEY COMPREHENSIVE TREATMENT CENTER
  • Facility Address: 1651 AND 1653 E MAIN STREET EASLEY
    EASLEY, SC
    ZIP 29640
  • Facility Phone: 760 710-0968
  • Facility Type: Other - OPIOID TREATMENT PROGRAM
  • Facility Type: Waiver
  • Lab Director: JEFFREY CRADDOCK
  • NPI Number: 1043058571
  • Taxonomy: 261QM2800X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2311767
LAB Type Other - OPIOID TREATMENT PROGRAM
Facility Name EASLEY COMPREHENSIVE TREATMENT CENTER
Street 1651 AND 1653 E MAIN STREET EASLEY
City EASLEY
State SC
ZIP 29640
Phone 760 710-0968
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Other - OPIOID TREATMENT PROGRAM
Lab Director JEFFREY CRADDOCK

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