42D1003520 CLIA NUMBER - COTTONWOOD VILLAS

Laboratory Demographics

  • CLIA Code: 42D1003520
  • Facility Name: COTTONWOOD VILLAS
  • Facility Address: 800 W CHURCH ST
    BISHOPVILLE, SC
    ZIP 29010
  • Facility Phone: 803 484-5303
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: JOHN PATE
  • NPI Number: 1750578472
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D1003520
LAB Type Other
Facility Name COTTONWOOD VILLAS
Street 800 W CHURCH ST
City BISHOPVILLE
State SC
ZIP 29010
Phone 803 484-5303
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/3/2024
Certificate Expiration Date 9/2/2026
Facility Type Other
Lab Director JOHN PATE

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