GHS CLEMSON-SENECA PED - CLEM
NPI 1043602428
Clinic/Center - Rural Health in Clemson, SC

Active since February 23, 2015
208 FRONTAGE RD STE 1, CLEMSON, SC 29631(864) 654-6034(864) 654-0342 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ghs Clemson-seneca Ped - Clem NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GHS CLEMSON-SENECA PED - CLEM (NPI 1043602428) is a healthcare organization registered as a rural health in Clemson, South Carolina and active in the NPI registry since February 2015. The organization lists Michael C Riordan, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1043602428
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameGREENVILLE HEALTH SYSTEM
Location Address208 FRONTAGE RD STE 1Clemson, SC 29631-1671
Mailing Address1 Independence Pt Ste 212Greenville, SC 29615-4536 · (864) 797-6308 · Fax (864) 797-6198
Fax(864) 654-0342
Organization SubpartNo
Authorized OfficialMichael C RiordanPresident/ceo · (864) 797-7808
Enumeration DateFebruary 23, 2015
Last NPPES UpdateMarch 25, 2015
NPI 1043602428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
208 FRONTAGE RD STE 1, Clemson, SC 29631

Other Names 1

Doing Business AsGhs Clemson-seneca Ped - Clem

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 42D2218542

Greenville Transitions Recovery Center, LLC · Greenville, SC
Active · expires Mar 28, 2027
CLIA Number42D2218542
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateMarch 29, 2025
Certificate Expiration DateMarch 28, 2027
Laboratory DirectorColeman Cown
Laboratory Phone(864) 404-6534
Laboratory LocationGreenville Transitions Recovery Center, LLC2 Sweetbriar Rd, Ste A4, Greenville, SC 29615
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D0954721

Greenville Glen · Greenville, SC
Active · expires Dec 6, 2026
CLIA Number42D0954721
Laboratory TypeOther
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorSpring Kibbe
Laboratory Phone(864) 627-8700
Laboratory LocationGreenville Glen1101 Garlington Road, Greenville, SC 29615
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 42D1055185

Velocity Clinical Research, Greenville · Greenville, SC
Expired · Jun 11, 2026
CLIA Number42D1055185
Laboratory TypeOther
Certificate Effective DateJune 12, 2024
Certificate Expiration DateJune 11, 2026
Laboratory DirectorLuis I. De La Cruz
Laboratory Phone(864) 770-0890
Laboratory LocationVelocity Clinical Research, Greenville501 Roper Mountain Road, Greenville, SC 29615
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043602428, enumerated as an "organization" on February 23, 2015.

The provider is located at 208 FRONTAGE RD STE 1 CLEMSON, SC 29631 and the phone number is (864) 654-6034.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.