42D0919829 CLIA NUMBER - COLONIAL FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 42D0919829
  • Facility Name: COLONIAL FAMILY PRACTICE
  • Facility Address: 325 BROAD STREET
    SUMTER, SC
    ZIP 29150
  • Facility Phone: 803 773-5227
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: THOMAS L. LUCAS
  • NPI Number: 1285066233
  • Taxonomy: 207Q00000X - Family Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D0919829
LAB Type Physician Office
Facility Name COLONIAL FAMILY PRACTICE
Street 325 BROAD STREET
City SUMTER
State SC
ZIP 29150
Phone 803 773-5227
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 10/6/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director THOMAS L. LUCAS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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