42D0251605 CLIA NUMBER - JETER-SKINNER FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 42D0251605
  • Facility Name: JETER-SKINNER FAMILY PRACTICE
  • Facility Address: 800 EAST CHEVES STREET, SUITE 200
    FLORENCE, SC
    ZIP 29506
  • Facility Phone: 843 662-1533
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: THOMAS W. HAWKINS
  • NPI Number: 1578536033
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0251605
LAB Type Physician Office
Facility Name JETER-SKINNER FAMILY PRACTICE
Street 800 EAST CHEVES STREET, SUITE 200
City FLORENCE
State SC
ZIP 29506
Phone 843 662-1533
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director THOMAS W. HAWKINS

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