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General NPI Number Information
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NPI Number | 1972486793
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Entity Type | Organization
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Legal Business Name | CLEARWATER BIOTECH
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 1327 MILLER RD STE G
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City | GREENVILLE
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State | SC
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Zip | 29607-5786
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Country | US
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Telephone | 864-679-1514
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Fax |
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Provider Business Mailing Address
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Address Line | 1327 MILLER RD STE G
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City | GREENVILLE
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State | SC
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Zip | 29607-5786
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LAB DIRECTOR
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Name | MARION L SNYDER
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Credential |
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Telephone | 864-679-1514
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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