42D0680881 CLIA NUMBER - WELLFORD FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 42D0680881
  • Facility Name: WELLFORD FAMILY MEDICINE
  • Facility Address: 102-A ASTOR STREET
    WELLFORD, SC
    ZIP 29385
  • Facility Phone: 864 439-5338
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ROBERT B. HARRIS JR
  • NPI Number: 1427067115
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D0680881
LAB Type Physician Office
Facility Name WELLFORD FAMILY MEDICINE
Street 102-A ASTOR STREET
City WELLFORD
State SC
ZIP 29385
Phone 864 439-5338
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 10/18/2025
Certificate Expiration Date 10/17/2027
Facility Type Physician Office
Lab Director ROBERT B. HARRIS JR

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