42D1009384 CLIA NUMBER - CARESOUTH CAROLINA INC MCCOLL

Laboratory Demographics

CLIA Number: 42D1009384

Facility Name: CARESOUTH CAROLINA INC MCCOLL

Facility Address:
3080 HIGHWAY 15-401 E
MCCOLL, SC
ZIP 29570
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Facility Phone Number: (843) 523-5751

Facility Type: FEDERALLY QUALIFIED HEALTH CENTER

Certificate Type: Waiver

NPI Number: 1811930076

Taxonomy: 261QF0400X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D1009384
LAB Type	FEDERALLY QUALIFIED HEALTH CENTER
Facility Name	CARESOUTH CAROLINA INC MCCOLL
Street	3080 HIGHWAY 15-401 E
City	MCCOLL
State	SC
ZIP	29570
Phone	(843) 523-5751

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This page was last updated on: 5/11/2023