42D2327084 CLIA NUMBER - PRISMA HEALTH CHAPIN

Laboratory Demographics

  • CLIA Code: 42D2327084
  • Facility Name: PRISMA HEALTH CHAPIN
  • Facility Address: 105 ELLETT RD.
    CHAPIN, SC
    ZIP 29036
  • Facility Phone: 803 296-2405
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BENJAMIN I. OLIVER
  • NPI Number: 1336031079
  • Taxonomy: 293D00000X - Physiological Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 42D2327084
LAB Type Physician Office
Facility Name PRISMA HEALTH CHAPIN
Street 105 ELLETT RD.
City CHAPIN
State SC
ZIP 29036
Phone 803 296-2405
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Physician Office
Lab Director BENJAMIN I. OLIVER

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