42D0929081 CLIA NUMBER - MCLEOD FAMILY PRACTICE-TIMMONSVILLE

Laboratory Demographics

  • CLIA Code: 42D0929081
  • Facility Name: MCLEOD FAMILY PRACTICE-TIMMONSVILLE
  • Facility Address: 755 EAST SMITH STREET
    TIMMONSVILLE, SC
    ZIP 29161
  • Facility Phone: 843 346-3900
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: FOCELL I. JACKSON-DOZIER M D
  • NPI Number: 1003461773
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0929081
LAB Type Physician Office
Facility Name MCLEOD FAMILY PRACTICE-TIMMONSVILLE
Street 755 EAST SMITH STREET
City TIMMONSVILLE
State SC
ZIP 29161
Phone 843 346-3900
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/25/2024
Certificate Expiration Date 8/24/2026
Facility Type Physician Office
Lab Director FOCELL I. JACKSON-DOZIER M D

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This page was last updated on: 3/20/2025