42D0928459 CLIA NUMBER - HAMPTON FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 42D0928459
  • Facility Name: HAMPTON FAMILY PRACTICE
  • Facility Address: 305 WEST ELM STREET
    HAMPTON, SC
    ZIP 29924
  • Facility Phone: 803 943-9007
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GLENN W. WELCKER M D
  • NPI Number: 1568658649
  • Taxonomy: 111NX0800X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 42D0928459
LAB Type Physician Office
Facility Name HAMPTON FAMILY PRACTICE
Street 305 WEST ELM STREET
City HAMPTON
State SC
ZIP 29924
Phone 803 943-9007
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2025
Certificate Expiration Date 5/18/2027
Facility Type Physician Office
Lab Director GLENN W. WELCKER M D

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