42D0250152 CLIA NUMBER - SCDDN-WHITTEN CENTER

Laboratory Demographics

  • CLIA Code: 42D0250152
  • Facility Name: SCDDN-WHITTEN CENTER
  • Facility Address: 28373 HIGHWAY 76 EAST
    CLINTON, SC
    ZIP 29325
  • Facility Phone: 864 938-3423
  • Facility Type: Other - ICF-ID
  • Facility Type: Waiver
  • Lab Director: CRAIG ALLEN BYRD
  • NPI Number: 1982733432
  • Taxonomy: 385HR2060X - Respite Care

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CLIA Record

Field Name Field Value
CLIA Number 42D0250152
LAB Type Other - ICF-ID
Facility Name SCDDN-WHITTEN CENTER
Street 28373 HIGHWAY 76 EAST
City CLINTON
State SC
ZIP 29325
Phone 864 938-3423
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Other - ICF-ID
Lab Director CRAIG ALLEN BYRD

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This page was last updated on: 9/29/2025