42D0903300 CLIA NUMBER - COLONIAL FAMILY PRACTICE-MANNING

Laboratory Demographics

  • CLIA Code: 42D0903300
  • Facility Name: COLONIAL FAMILY PRACTICE-MANNING
  • Facility Address: 1036 PROFESSIONAL COURT
    MANNING, SC
    ZIP 29102
  • Facility Phone: 803 773-5227
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WILLIAM C. ALDRICH MD
  • NPI Number: 1508302308
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0903300
LAB Type Physician Office
Facility Name COLONIAL FAMILY PRACTICE-MANNING
Street 1036 PROFESSIONAL COURT
City MANNING
State SC
ZIP 29102
Phone 803 773-5227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Physician Office
Lab Director WILLIAM C. ALDRICH MD

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