42D0897837 CLIA NUMBER - FAIRFIELD COUNTY EMERGENCY SERVICES

Laboratory Demographics

CLIA Number: 42D0897837

Facility Name: FAIRFIELD COUNTY EMERGENCY SERVICES

Facility Address:
100 TIDEWATER DRIVE
WINNSBORO, SC
ZIP 29180
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Facility Phone Number: 803 633-2107

Facility Type: Other

Certificate Type: Waiver

NPI Number: 1053391060

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	42D0897837
LAB Type	Other
Facility Name	FAIRFIELD COUNTY EMERGENCY SERVICES
Street	100 TIDEWATER DRIVE
City	WINNSBORO
State	SC
ZIP	29180
Phone	803 633-2107
CertificateType	4
CertificateEffectiveDate	2/16/2023
CertificateExpirationDate	2/15/2025
FacilityType	Waiver

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