42D0251642 CLIA NUMBER - BENNETTSVILLE HEALTH AND REHABILITATION CENTER

Laboratory Demographics

  • CLIA Code: 42D0251642
  • Facility Name: BENNETTSVILLE HEALTH AND REHABILITATION CENTER
  • Facility Address: 710 HIGHWAY 15-401 BYPASS
    BENNETTSVILLE, SC
    ZIP 29512
  • Facility Phone: 843 479-6251
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KELLY PRUITT
  • NPI Number: 1962401604
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D0251642
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name BENNETTSVILLE HEALTH AND REHABILITATION CENTER
Street 710 HIGHWAY 15-401 BYPASS
City BENNETTSVILLE
State SC
ZIP 29512
Phone 843 479-6251
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KELLY PRUITT

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