42D0970937 CLIA NUMBER - MCLEOD FAMILY MEDICINE - HEALTH AND FITNESS

Laboratory Demographics

  • CLIA Code: 42D0970937
  • Facility Name: MCLEOD FAMILY MEDICINE - HEALTH AND FITNESS
  • Facility Address: 2437 WILLWOOD DRIVE
    FLORENCE, SC
    ZIP 29501
  • Facility Phone: 843 777-3100
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. KENNETH FAILE
  • NPI Number: 1205882461
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0970937
LAB Type Physician Office
Facility Name MCLEOD FAMILY MEDICINE - HEALTH AND FITNESS
Street 2437 WILLWOOD DRIVE
City FLORENCE
State SC
ZIP 29501
Phone 843 777-3100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/12/2023
Certificate Expiration Date 8/11/2025
Facility Type Physician Office
Lab Director DR. KENNETH FAILE

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This page was last updated on: 3/20/2025