42D0691387 CLIA NUMBER - JACKSON FIRST ALERT RESCUE SQUAD

Laboratory Demographics

  • CLIA Code: 42D0691387
  • Facility Name: JACKSON FIRST ALERT RESCUE SQUAD
  • Facility Address: 18908 ATOMIC ROAD
    JACKSON, SC
    ZIP 29831
  • Facility Phone: (803) 471-2637
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: STEPHEN T. FERGUSON
  • NPI Number: 1679746333
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D0691387
LAB Type Ambulance
Facility Name JACKSON FIRST ALERT RESCUE SQUAD
Street 18908 ATOMIC ROAD
City JACKSON
State SC
ZIP 29831
Phone 8034712637
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2026
Certificate Expiration Date 5/16/2028
Facility Type Ambulance
Lab Director STEPHEN T. FERGUSON

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This page was last updated on: 5/18/2026