42D0983799 CLIA NUMBER - MCLEOD GYN SPECIALISTS

Laboratory Demographics

  • CLIA Code: 42D0983799
  • Facility Name: MCLEOD GYN SPECIALISTS
  • Facility Address: 101 WILLIAM H JOHNSON STREET SUITE 200
    FLORENCE, SC
    ZIP 29506
  • Facility Phone: 843 777-7500
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: CLIFFORD D. LUSK
  • NPI Number: 1053710012
  • Taxonomy: 207VG0400X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 42D0983799
LAB Type Physician Office
Facility Name MCLEOD GYN SPECIALISTS
Street 101 WILLIAM H JOHNSON STREET SUITE 200
City FLORENCE
State SC
ZIP 29506
Phone 843 777-7500
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 3/5/2025
Certificate Expiration Date 3/4/2027
Facility Type Physician Office
Lab Director CLIFFORD D. LUSK

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