42D2314086 CLIA NUMBER - GDS ENTERPRISES, LLC

Laboratory Demographics

  • CLIA Code: 42D2314086
  • Facility Name: GDS ENTERPRISES, LLC
  • Facility Address: 117 CHALK STREET
    EASTOVER, SC
    ZIP 29044
  • Facility Phone: (803) 592-1028
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: SARA DEVEAUX
  • NPI Number: 1780432054
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D2314086
LAB Type Assisted Living Facility
Facility Name GDS ENTERPRISES, LLC
Street 117 CHALK STREET
City EASTOVER
State SC
ZIP 29044
Phone 8035921028
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/13/2024
Certificate Expiration Date 11/12/2026
Facility Type Assisted Living Facility
Lab Director SARA DEVEAUX

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This page was last updated on: 6/29/2026