42D0888051 CLIA NUMBER - PRUITT HEALTH - BARNWELL, LLC DBA PRUITT HEALTH - BARNWELL

Laboratory Demographics

  • CLIA Code: 42D0888051
  • Facility Name: PRUITT HEALTH - BARNWELL, LLC DBA PRUITT HEALTH - BARNWELL
  • Facility Address: 31 WREN STREET
    BARNWELL, SC
    ZIP 29812
  • Facility Phone: 803 259-5547
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: MARY JAMISON
  • NPI Number: 1962729632
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D0888051
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name PRUITT HEALTH - BARNWELL, LLC DBA PRUITT HEALTH - BARNWELL
Street 31 WREN STREET
City BARNWELL
State SC
ZIP 29812
Phone 803 259-5547
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2024
Certificate Expiration Date 6/21/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director MARY JAMISON

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