42D0253405 CLIA NUMBER - MUSC COMMUNITY PHYSICIANS DBA MUSC HEALTH PRIMARY CARE LANCASTER

Laboratory Demographics

  • CLIA Code: 42D0253405
  • Facility Name: MUSC COMMUNITY PHYSICIANS DBA MUSC HEALTH PRIMARY CARE LANCASTER
  • Facility Address: 201A WEST MEETING ST
    LANCASTER, SC
    ZIP 29720
  • Facility Phone: 803 286-4666
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ULYESSE C. FUERALL III
  • NPI Number: 1346993672
  • Taxonomy: 207RG0100X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D0253405
LAB Type Physician Office
Facility Name MUSC COMMUNITY PHYSICIANS DBA MUSC HEALTH PRIMARY CARE LANCASTER
Street 201A WEST MEETING ST
City LANCASTER
State SC
ZIP 29720
Phone 803 286-4666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/27/2025
Certificate Expiration Date 9/26/2027
Facility Type Physician Office
Lab Director DR. ULYESSE C. FUERALL III

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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