42D0665214 CLIA NUMBER - ST MATTHEWS FAMILY HEALTH CTR LAB

Laboratory Demographics

  • CLIA Code: 42D0665214
  • Facility Name: ST MATTHEWS FAMILY HEALTH CTR LAB
  • Facility Address: 558 CHESTNUT ST
    SAINT MATTHEWS, SC
    ZIP 29135
  • Facility Phone: 803 874-2006
  • Facility Type: Other
  • Facility Type: Microscopy
  • Lab Director: DR. SANDRA STEPHENS
  • NPI Number: 1528262888
  • Taxonomy: 261QF0400X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0665214
LAB Type Other
Facility Name ST MATTHEWS FAMILY HEALTH CTR LAB
Street 558 CHESTNUT ST
City SAINT MATTHEWS
State SC
ZIP 29135
Phone 803 874-2006
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 10/28/2023
Certificate Expiration Date 10/27/2025
Facility Type Other
Lab Director DR. SANDRA STEPHENS

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