42D0718217 CLIA NUMBER - PRISMA HEALTH FAMILY MEDICINE-WINNSBORO

Laboratory Demographics

  • CLIA Code: 42D0718217
  • Facility Name: PRISMA HEALTH FAMILY MEDICINE-WINNSBORO
  • Facility Address: 56 US 321 BYPASS NORTH
    WINNSBORO, SC
    ZIP 29180
  • Facility Phone: 803 635-6099
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KYLIE A. WHITTLE
  • NPI Number: 1376148502
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0718217
LAB Type Physician Office
Facility Name PRISMA HEALTH FAMILY MEDICINE-WINNSBORO
Street 56 US 321 BYPASS NORTH
City WINNSBORO
State SC
ZIP 29180
Phone 803 635-6099
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 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Physician Office
Lab Director KYLIE A. WHITTLE

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