42D2315481 CLIA NUMBER - CLOW MEDICAL GROUP LLC

Laboratory Demographics

  • CLIA Code: 42D2315481
  • Facility Name: CLOW MEDICAL GROUP LLC
  • Facility Address: 1100 RUTHERFORD RD SUITE B
    GREENVILLE, SC
    ZIP 29609
  • Facility Phone: 864 581-7480
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRIAN D. CLOW
  • NPI Number: 1083431928
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2315481
LAB Type Physician Office
Facility Name CLOW MEDICAL GROUP LLC
Street 1100 RUTHERFORD RD SUITE B
City GREENVILLE
State SC
ZIP 29609
Phone 864 581-7480
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/13/2024
Certificate Expiration Date 12/12/2026
Facility Type Physician Office
Lab Director BRIAN D. CLOW

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