42D0936688 CLIA NUMBER - AMERICARE HEALTH FAMILY MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 42D0936688
  • Facility Name: AMERICARE HEALTH FAMILY MEDICAL CENTER
  • Facility Address: 905 NORTH PEARL STREET
    PAGELAND, SC
    ZIP 29728
  • Facility Phone: 843 672-3100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIVIAN L. BAILEY
  • NPI Number: 1184637902
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0936688
LAB Type Physician Office
Facility Name AMERICARE HEALTH FAMILY MEDICAL CENTER
Street 905 NORTH PEARL STREET
City PAGELAND
State SC
ZIP 29728
Phone 843 672-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director VIVIAN L. BAILEY

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