Organization Active NPI

Clearwater Biotech

  • Clinical Medical Laboratory
  • Greenville, SC
National Provider Identifier
1972486793
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
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

Updated by the provider on Sep 18, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20251114002052 SC Part B Supplier - Independent Clinical Laboratory 2668963984 Practice locations: Greenville, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2334955Clearwater Biotech, LLC1327 Miller Road, Suite G, Greenville, SC 29607RegistrationDec 3, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.