42D0961523 CLIA NUMBER - JOHN EDWARD HARTER NURSING CENTER

Laboratory Demographics

  • CLIA Code: 42D0961523
  • Facility Name: JOHN EDWARD HARTER NURSING CENTER
  • Facility Address: 1787 ALLENDALE-FAIRFAX HWY
    FAIRFAX, SC
    ZIP 29827
  • Facility Phone: 803 632-3334
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: B VICTOR WILLIAMS MD
  • NPI Number: 1336246677
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D0961523
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name JOHN EDWARD HARTER NURSING CENTER
Street 1787 ALLENDALE-FAIRFAX HWY
City FAIRFAX
State SC
ZIP 29827
Phone 803 632-3334
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director B VICTOR WILLIAMS MD

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