42D0253648 CLIA NUMBER - RAY B VAUGHTERS JR MD

Laboratory Demographics

  • CLIA Code: 42D0253648
  • Facility Name: RAY B VAUGHTERS JR MD
  • Facility Address: 39 VARDEN DR
    AIKEN, SC
    ZIP 29803
  • Facility Phone: 803 649-2501
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: RAY B. VAUGHTERS JR M D
  • NPI Number: 1568401693
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0253648
LAB Type Physician Office
Facility Name RAY B VAUGHTERS JR MD
Street 39 VARDEN DR
City AIKEN
State SC
ZIP 29803
Phone 803 649-2501
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 3/11/2024
Certificate Expiration Date 3/10/2026
Facility Type Physician Office
Lab Director RAY B. VAUGHTERS JR M D

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