42D0946446 CLIA NUMBER - SOUTHLAND OPERATOR LLC DBA SOUTHLAND HEALTH CARE CENTER

Laboratory Demographics

  • CLIA Code: 42D0946446
  • Facility Name: SOUTHLAND OPERATOR LLC DBA SOUTHLAND HEALTH CARE CENTER
  • Facility Address: 722 S DARGAN STREET
    FLORENCE, SC
    ZIP 29506
  • Facility Phone: (843) 669-4403
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: GILLIAM M. SKINNER
  • NPI Number: 1073260048
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D0946446
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name SOUTHLAND OPERATOR LLC DBA SOUTHLAND HEALTH CARE CENTER
Street 722 S DARGAN STREET
City FLORENCE
State SC
ZIP 29506
Phone 8436694403
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/27/2024
Certificate Expiration Date 5/26/2026
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director GILLIAM M. SKINNER

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This page was last updated on: 5/18/2026