42D0899570 CLIA NUMBER - FAITH HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 42D0899570
  • Facility Name: FAITH HEALTH CARE CENTER
  • Facility Address: 617 WEST MARION STREET
    FLORENCE, SC
    ZIP 29501
  • Facility Phone: 843 669-9958
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GERALD JEBAILY, M D
  • NPI Number: 1053493684
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D0899570
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name FAITH HEALTH CARE CENTER
Street 617 WEST MARION STREET
City FLORENCE
State SC
ZIP 29501
Phone 843 669-9958
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/3/2025
Certificate Expiration Date 4/2/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director GERALD JEBAILY, M D

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