42D2328094 CLIA NUMBER - CAROLINA ASC, LLC

Laboratory Demographics

  • CLIA Code: 42D2328094
  • Facility Name: CAROLINA ASC, LLC
  • Facility Address: 110 CHALMERS RD STE A
    GREENVILLE, SC
    ZIP 29605
  • Facility Phone: 864 977-8200
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: MATTHEW GRAHAM
  • NPI Number: 1487400636
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2328094
LAB Type Ambulatory Surgery Center
Facility Name CAROLINA ASC, LLC
Street 110 CHALMERS RD STE A
City GREENVILLE
State SC
ZIP 29605
Phone 864 977-8200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/5/2025
Certificate Expiration Date 8/4/2027
Facility Type Ambulatory Surgery Center
Lab Director MATTHEW GRAHAM

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