42D0692529 CLIA NUMBER - CALHOUN COUNTY EMS

Laboratory Demographics

CLIA Number: 42D0692529

Facility Name: CALHOUN COUNTY EMS

Facility Address:
201 MILL ST
SAINT MATTHEWS, SC
ZIP 29135
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Facility Phone Number: 803 874-3561

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1598256711

Taxonomy: 261QM1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D0692529
LAB Type	Other
Facility Name	CALHOUN COUNTY EMS
Street	201 MILL ST
City	SAINT MATTHEWS
State	SC
ZIP	29135
Phone	803 874-3561
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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