42D1028485 CLIA NUMBER - MCLEOD MATERNAL FETAL MEDICINE

Laboratory Demographics

  • CLIA Code: 42D1028485
  • Facility Name: MCLEOD MATERNAL FETAL MEDICINE
  • Facility Address: 101 WILLIAM H JOHNSON STREET SUITE 270
    FLORENCE, SC
    ZIP 29506
  • Facility Phone: 843 777-7753
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONNA JOHNSON, MD
  • NPI Number: 1770556714
  • Taxonomy: 207VM0101X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 42D1028485
LAB Type Physician Office
Facility Name MCLEOD MATERNAL FETAL MEDICINE
Street 101 WILLIAM H JOHNSON STREET SUITE 270
City FLORENCE
State SC
ZIP 29506
Phone 843 777-7753
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2024
Certificate Expiration Date 3/2/2026
Facility Type Physician Office
Lab Director DONNA JOHNSON, MD

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