42D0701787 CLIA NUMBER - SANTEE FAMILY MEDICAL CENTER INC

Laboratory Demographics

CLIA Number: 42D0701787

Facility Name: SANTEE FAMILY MEDICAL CENTER INC

Facility Address:
130 PLAZA STREET
SANTEE, SC
ZIP 29142
Get Directions

Facility Phone Number: 803 854-3940

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326217654

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D0701787
LAB Type	Physician Office
Facility Name	SANTEE FAMILY MEDICAL CENTER INC
Street	130 PLAZA STREET
City	SANTEE
State	SC
ZIP	29142
Phone	803 854-3940
CertificateType	4
CertificateEffectiveDate	7/31/2023
CertificateExpirationDate	7/30/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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