42D1003917 CLIA NUMBER - TRI COUNTY HOSPICE, INC DBA MEDICAL SERVICES OF AMERICA HOSPICE

Laboratory Demographics

  • CLIA Code: 42D1003917
  • Facility Name: TRI COUNTY HOSPICE, INC DBA MEDICAL SERVICES OF AMERICA HOSPICE
  • Facility Address: 2 PALMETTO WOOD PARYWAY, SUITE 204
    IRMO, SC
    ZIP 29063
  • Facility Phone: 803 321-0341
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: ROGERS T. JULIANNE
  • NPI Number: 1033161070
  • Taxonomy: 251G00000X - Hospice Care, Community Based

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CLIA Record

Field Name Field Value
CLIA Number 42D1003917
LAB Type Hospice
Facility Name TRI COUNTY HOSPICE, INC DBA MEDICAL SERVICES OF AMERICA HOSPICE
Street 2 PALMETTO WOOD PARYWAY, SUITE 204
City IRMO
State SC
ZIP 29063
Phone 803 321-0341
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Hospice
Lab Director ROGERS T. JULIANNE

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