42D0894354 CLIA NUMBER - MEDICAL UNIVERSITY HEALTH AUTHORITY DBA MUSC HEALTH PRIMARY CARE MARION

Laboratory Demographics

CLIA Number: 42D0894354

Facility Name: MEDICAL UNIVERSITY HEALTH AUTHORITY DBA MUSC HEALTH PRIMARY CARE MARION

Facility Address:
1205 NORTH MAIN STREET
MARION, SC
ZIP 29571
Get Directions

Facility Phone Number: 843 423-0760

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1134746555

Taxonomy: 261QR1300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D0894354
LAB Type	Other
Facility Name	MEDICAL UNIVERSITY HEALTH AUTHORITY DBA MUSC HEALTH PRIMARY CARE MARION
Street	1205 NORTH MAIN STREET
City	MARION
State	SC
ZIP	29571
Phone	843 423-0760
CertificateType	4
CertificateEffectiveDate	11/14/2022
CertificateExpirationDate	11/13/2024
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