42D0942140 CLIA NUMBER - CAMPBELL FAMILY PRACTICE PA

Laboratory Demographics

  • CLIA Code: 42D0942140
  • Facility Name: CAMPBELL FAMILY PRACTICE PA
  • Facility Address: 2835 EAST, HWY 76, SUITE 6
    MULLINS, SC
    ZIP 29574
  • Facility Phone: 843 431-9882
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TREADWELL CAMPBELL
  • NPI Number: 1477768844
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0942140
LAB Type Physician Office
Facility Name CAMPBELL FAMILY PRACTICE PA
Street 2835 EAST, HWY 76, SUITE 6
City MULLINS
State SC
ZIP 29574
Phone 843 431-9882
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/6/2024
Certificate Expiration Date 3/5/2026
Facility Type Physician Office
Lab Director TREADWELL CAMPBELL

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