42D0994414 CLIA NUMBER - MCCRAW FAMILY MEDICINE

Laboratory Demographics

  • CLIA Code: 42D0994414
  • Facility Name: MCCRAW FAMILY MEDICINE
  • Facility Address: 404 S E MAIN STREET
    SIMPSONVILLE, SC
    ZIP 29681
  • Facility Phone: 864 228-1168
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: ANDREW S. MCCRAW MD
  • NPI Number: 1457545378
  • Taxonomy: 173000000X - Legal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D0994414
LAB Type Physician Office
Facility Name MCCRAW FAMILY MEDICINE
Street 404 S E MAIN STREET
City SIMPSONVILLE
State SC
ZIP 29681
Phone 864 228-1168
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 12/13/2023
Certificate Expiration Date 12/12/2025
Facility Type Physician Office
Lab Director ANDREW S. MCCRAW MD

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