42D2311815 CLIA NUMBER - PRISMA HEALTH OUTPATIENT SURGERY CENTENNIAL WAY

Laboratory Demographics

  • CLIA Code: 42D2311815
  • Facility Name: PRISMA HEALTH OUTPATIENT SURGERY CENTENNIAL WAY
  • Facility Address: 64 CENTENNIAL WAY
    GREENVILLE, SC
    ZIP 29607
  • Facility Phone: 864 522-6730
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Certificate of Compliance
  • Lab Director: SAMUEL HORTON
  • NPI Number: 1326884982
  • Taxonomy: 282N00000X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 42D2311815
LAB Type Ambulatory Surgery Center
Facility Name PRISMA HEALTH OUTPATIENT SURGERY CENTENNIAL WAY
Street 64 CENTENNIAL WAY
City GREENVILLE
State SC
ZIP 29607
Phone 864 522-6730
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Ambulatory Surgery Center
Lab Director SAMUEL HORTON

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