42D1041861 CLIA NUMBER - APEXCARE

Laboratory Demographics

  • CLIA Code: 42D1041861
  • Facility Name: APEXCARE
  • Facility Address: 116 STANDARD WAREHOUSE RD
    LUGOFF, SC
    ZIP 29078
  • Facility Phone: 803 408-0225
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLAJIDE BALOGUN
  • NPI Number: 1508958216
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D1041861
LAB Type Physician Office
Facility Name APEXCARE
Street 116 STANDARD WAREHOUSE RD
City LUGOFF
State SC
ZIP 29078
Phone 803 408-0225
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/23/2025
Certificate Expiration Date 1/22/2027
Facility Type Physician Office
Lab Director OLAJIDE BALOGUN

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