KRAFT NEWBERRY OCCUPATIONAL CENTER
NPI 1336576610
Clinic/Center - Occupational Medicine in Newberry, SC

Active since October 02, 2013CLIA 42D2035852 · Waiver
3704 LOUIS RICH RD, NEWBERRY, SC 29108(803) 321-1804 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kraft Newberry Occupational Center NPPES

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

KRAFT NEWBERRY OCCUPATIONAL CENTER (NPI 1336576610) is a healthcare organization registered as an occupational medicine in Newberry, South Carolina and active in the NPI registry since October 2013. The organization holds a CLIA Waiver certificate valid through January 25, 2028 and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1336576610
Entity TypeOrganization
Primary Taxonomy261QX0100X
Legal Business NamePREMISE HEALTH OF SOUTH CAROLINA MEDICAL, P.C
Location Address3704 LOUIS RICH RDNewberry, SC 29108-1413
Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993
Organization SubpartNo
Authorized OfficialJon LeizmanPresident · (216) 479-9063
Enumeration DateOctober 2, 2013
Last NPPES UpdateAugust 23, 2022
NPPES CertifiedAugust 23, 2022
✔ NPI 1336576610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities
Taxonomy Code261QX0100X
3704 LOUIS RICH RD, Newberry, SC 29108

Other Names 1

Doing Business AsKraft Newberry Occupational Center

CLIA Laboratory Certificates CMS CLIA

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 42D2035852

Premise Health Of South Carolina Medical, PC · Newberry, SC
Active · expires Jan 25, 2028
CLIA Number42D2035852
Laboratory TypePhysician Office
Certificate Effective DateJanuary 26, 2026
Certificate Expiration DateJanuary 25, 2028
Laboratory DirectorDr. Darly Bernardo
Laboratory Phone(803) 321-1804
Laboratory LocationPremise Health Of South Carolina Medical, PC3704 Louis Rich Drive, Newberry, SC 29108
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premise Health Of South Carolina Medical, P.C's NPI number?

The NPI number for Premise Health Of South Carolina Medical, P.C is 1336576610. It was assigned to this organization in the NPPES registry on October 2, 2013. The provider is doing business as Kraft Newberry Occupational Center.

Where is Premise Health Of South Carolina Medical, P.C located?

Premise Health Of South Carolina Medical, P.C is located at 3704 Louis Rich Rd, Newberry, SC 29108. The listed phone number is (803) 321-1804.

What is Premise Health Of South Carolina Medical, P.C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Premise Health Of South Carolina Medical, P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 42D2035852) is associated with this NPI, valid through January 25, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Premise Health Of South Carolina Medical, P.C was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.