42D0963123 CLIA NUMBER - MCLEOD FAMILY MEDICINE - MARION COUNTY

Laboratory Demographics

CLIA Number: 42D0963123

Facility Name: MCLEOD FAMILY MEDICINE - MARION COUNTY

Facility Address:
3032 EAST HIGHWAY 76
MULLINS, SC
ZIP 29574
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Facility Phone Number: 843 777-7780

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1710532486

Taxonomy: 261QR1300X - Clinic/Center

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
CertificateType	3
CertificateEffectiveDate	7/23/2023
CertificateExpirationDate	7/22/2025
FacilityType	PPMP

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This page was last updated on: 4/23/2024