42D2317846 CLIA NUMBER - ANMED PEDIATRICS BELTLINE BLVD

Laboratory Demographics

CLIA Code: 42D2317846
Facility Name: ANMED PEDIATRICS BELTLINE BLVD
Facility Address: 3501-1 CLEMSON BLVD
ANDERSON, SC
ZIP 29621
Facility Phone: 864 512-8161
Facility Type: Physician Office
Facility Type: Waiver
Lab Director: ZOZA G. SPEARS
NPI Number: 1821837238
Taxonomy: 390200000X - Student in an Organized Health Care Education/Training Program

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CLIA Record

Field Name	Field Value
CLIA Number	42D2317846
LAB Type	Physician Office
Facility Name	ANMED PEDIATRICS BELTLINE BLVD
Street	3501-1 CLEMSON BLVD
City	ANDERSON
State	SC
ZIP	29621
Phone	864 512-8161
Certificate Type	Certificate of Waiver
Certificate Type Description	This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date	1/31/2025
Certificate Expiration Date	1/30/2027
Facility Type	Physician Office
Lab Director	ZOZA G. SPEARS

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