42D0957026 CLIA NUMBER - CALHOUN CONVALESCENT CENTER

Laboratory Demographics

  • CLIA Code: 42D0957026
  • Facility Name: CALHOUN CONVALESCENT CENTER
  • Facility Address: 601 DANTZLER STREET
    SAINT MATTHEWS, SC
    ZIP 29135
  • Facility Phone: 803 655-7101
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: WILLIAM S. DUPREE
  • NPI Number: 1013900257
  • Taxonomy: 341600000X - Ambulance

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D0957026
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name CALHOUN CONVALESCENT CENTER
Street 601 DANTZLER STREET
City SAINT MATTHEWS
State SC
ZIP 29135
Phone 803 655-7101
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director WILLIAM S. DUPREE

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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