42D1021133 CLIA NUMBER - WESMARK AMBULATORY SURGERY CENTER

Laboratory Demographics

  • CLIA Code: 42D1021133
  • Facility Name: WESMARK AMBULATORY SURGERY CENTER
  • Facility Address: 420 W WESMARK BLVD
    SUMTER, SC
    ZIP 29150
  • Facility Phone: 803 905-5590
  • Facility Type: Ambulatory Surgery Center
  • Facility Type: Waiver
  • Lab Director: STEPHANIE CHAMPION
  • NPI Number: 1124098512
  • Taxonomy: 261QA1903X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D1021133
LAB Type Ambulatory Surgery Center
Facility Name WESMARK AMBULATORY SURGERY CENTER
Street 420 W WESMARK BLVD
City SUMTER
State SC
ZIP 29150
Phone 803 905-5590
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2024
Certificate Expiration Date 1/12/2026
Facility Type Ambulatory Surgery Center
Lab Director STEPHANIE CHAMPION

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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