42D1035881 CLIA NUMBER - MUSC COMMUNITY PHYSICIAN DBA MUSC HEALTH PRIMARY CARE FLORENCE

Laboratory Demographics

  • CLIA Code: 42D1035881
  • Facility Name: MUSC COMMUNITY PHYSICIAN DBA MUSC HEALTH PRIMARY CARE FLORENCE
  • Facility Address: 1594 FREEDOM BLVD, MALL C, SUITE 102C
    FLORENCE, SC
    ZIP 29505
  • Facility Phone: 843 679-4221
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. EDUARDO A. DONATO JR
  • NPI Number: 1073266300
  • Taxonomy: 207P00000X - Emergency Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D1035881
LAB Type Physician Office
Facility Name MUSC COMMUNITY PHYSICIAN DBA MUSC HEALTH PRIMARY CARE FLORENCE
Street 1594 FREEDOM BLVD, MALL C, SUITE 102C
City FLORENCE
State SC
ZIP 29505
Phone 843 679-4221
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/13/2025
Certificate Expiration Date 1/12/2027
Facility Type Physician Office
Lab Director DR. EDUARDO A. DONATO JR

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