42D0251554 CLIA NUMBER - PEE DEE NEPHROLOGY, LLP

Laboratory Demographics

  • CLIA Code: 42D0251554
  • Facility Name: PEE DEE NEPHROLOGY, LLP
  • Facility Address: 1100 E CHEVES ST
    FLORENCE, SC
    ZIP 29506
  • Facility Phone: 843 669-6694
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ELSA MCINVILLE
  • NPI Number: 1598825929
  • Taxonomy: 207RN0300X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0251554
LAB Type Physician Office
Facility Name PEE DEE NEPHROLOGY, LLP
Street 1100 E CHEVES ST
City FLORENCE
State SC
ZIP 29506
Phone 843 669-6694
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director ELSA MCINVILLE

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