42D0665549 CLIA NUMBER - COMMUNITY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 42D0665549
  • Facility Name: COMMUNITY MEDICAL CENTER
  • Facility Address: 10278 OLD NUMBER 6 HIGHWAY
    VANCE, SC
    ZIP 29163
  • Facility Phone: 803 492-3031
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: JULIA HOBSON
  • NPI Number: 1568544591
  • Taxonomy: 3336C0002X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D0665549
LAB Type Federally Qualified Health Center
Facility Name COMMUNITY MEDICAL CENTER
Street 10278 OLD NUMBER 6 HIGHWAY
City VANCE
State SC
ZIP 29163
Phone 803 492-3031
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 11/18/2023
Certificate Expiration Date 11/17/2025
Facility Type Federally Qualified Health Center
Lab Director JULIA HOBSON

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