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42D0683879 CLIA NUMBER - MCLEOD PRIMARY CARE CLARENDON

Laboratory Demographics

CLIA Number: 42D0683879

Facility Name: MCLEOD PRIMARY CARE CLARENDON

Facility Address:
50 EAST HOSPITAL STREET SUITE 3
MANNING, SC
ZIP 29102
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Facility Phone Number: 803 435-8828

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1083067714

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 42D0683879
LAB Type Physician Office
Facility Name MCLEOD PRIMARY CARE CLARENDON
Street 50 EAST HOSPITAL STREET SUITE 3
City MANNING
State SC
ZIP 29102
Phone 803 435-8828
CertificateType 3
CertificateEffectiveDate 9/10/2023
CertificateExpirationDate 9/9/2025
FacilityType PPMP

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This page was last updated on: 4/23/2024