42D0676347 CLIA NUMBER - WHITE OAK MANOR-YORK

Laboratory Demographics

  • CLIA Code: 42D0676347
  • Facility Name: WHITE OAK MANOR-YORK
  • Facility Address: 111 S CONGRESS STREET
    YORK, SC
    ZIP 29745
  • Facility Phone: 803 684-0035
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARIAN CRAIG
  • NPI Number: 1023143062
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D0676347
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name WHITE OAK MANOR-YORK
Street 111 S CONGRESS STREET
City YORK
State SC
ZIP 29745
Phone 803 684-0035
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARIAN CRAIG

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