Active NPI
Clearwater Biotech
- Clinical Medical Laboratory
- Greenville, SC
National Provider Identifier
1972486793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- CLEARWATER BIOTECH
- Practice address
- 1327 Miller Rd Ste G
Greenville, SC 29607-5786 - Phone
- (864) 679-1514
- NPI assigned
- Jul 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marion L Snyder
- Title
- Lab Director
- Phone
- (864) 679-1514
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1327 Miller Rd Ste G
Greenville, SC 29607-5786
Mailing address
1327 Miller Rd Ste G
Greenville, SC 29607-5786
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251114002052 | SC | Part B Supplier - Independent Clinical Laboratory | 2668963984 | Practice locations: Greenville, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2334955 | Clearwater Biotech, LLC | Registration | Dec 3, 2027 |
National Provider Directory
National Provider DirectoryLocations
1327 Miller Rd
Ste G
Greenville, SC 29607
Phone (864) 679-1514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758153600000",
"number": "1972486793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 MILLER RD STE G",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 MILLER RD STE G",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296075786",
"telephone_number": "864-679-1514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLEARWATER BIOTECH",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-29",
"last_updated": "2025-09-18",
"certification_date": "2025-09-18",
"status": "A",
"authorized_official_last_name": "SNYDER",
"authorized_official_first_name": "MARION",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "LAB DIRECTOR",
"authorized_official_telephone_number": "864-679-1514"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.