42D0878134 CLIA NUMBER - CAROLINA MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 42D0878134
  • Facility Name: CAROLINA MEDICAL CENTER
  • Facility Address: 461 SPRUCE ST
    WALTERBORO, SC
    ZIP 29488
  • Facility Phone: 843 549-4335
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANJAY KUMAR
  • NPI Number: 1790706927
  • Taxonomy: 332H00000X - Eyewear Supplier

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CLIA Record

Field Name Field Value
CLIA Number 42D0878134
LAB Type Physician Office
Facility Name CAROLINA MEDICAL CENTER
Street 461 SPRUCE ST
City WALTERBORO
State SC
ZIP 29488
Phone 843 549-4335
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/16/2025
Certificate Expiration Date 7/15/2027
Facility Type Physician Office
Lab Director SANJAY KUMAR

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