42D0926531 CLIA NUMBER - MAGNOLIA MANOR - ROCK HILL

Laboratory Demographics

  • CLIA Code: 42D0926531
  • Facility Name: MAGNOLIA MANOR - ROCK HILL
  • Facility Address: 127 MURRAH DRIVE
    ROCK HILL, SC
    ZIP 29732
  • Facility Phone: 803 328-6518
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: JAMES L. JEWELL M D
  • NPI Number: 1235804352
  • Taxonomy: 101YP2500X - Counselor

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CLIA Record

Field Name Field Value
CLIA Number 42D0926531
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name MAGNOLIA MANOR - ROCK HILL
Street 127 MURRAH DRIVE
City ROCK HILL
State SC
ZIP 29732
Phone 803 328-6518
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director JAMES L. JEWELL M D

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