42D0938518 CLIA NUMBER - MCLEOD WOMEN'S CARE CLARENDON

Laboratory Demographics

  • CLIA Code: 42D0938518
  • Facility Name: MCLEOD WOMEN'S CARE CLARENDON
  • Facility Address: 50 EAST HOSPITAL STREET, SUITE 2
    MANNING, SC
    ZIP 29102
  • Facility Phone: 803 433-0797
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MONICA A. PLOETZKE
  • NPI Number: 1326491069
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 42D0938518
LAB Type Physician Office
Facility Name MCLEOD WOMEN'S CARE CLARENDON
Street 50 EAST HOSPITAL STREET, SUITE 2
City MANNING
State SC
ZIP 29102
Phone 803 433-0797
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 5/5/2024
Certificate Expiration Date 5/4/2026
Facility Type Physician Office
Lab Director DR. MONICA A. PLOETZKE

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