42D0963123 CLIA NUMBER - MCLEOD FAMILY MEDICINE - MARION COUNTY

Laboratory Demographics

  • CLIA Code: 42D0963123
  • Facility Name: MCLEOD FAMILY MEDICINE - MARION COUNTY
  • Facility Address: 3032 EAST HIGHWAY 76
    MULLINS, SC
    ZIP 29574
  • Facility Phone: 843 777-7780
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: JOHN N. ODOM
  • NPI Number: 1710532486
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D0963123
LAB Type Physician Office
Facility Name MCLEOD FAMILY MEDICINE - MARION COUNTY
Street 3032 EAST HIGHWAY 76
City MULLINS
State SC
ZIP 29574
Phone 843 777-7780
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 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Physician Office
Lab Director JOHN N. ODOM

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