42D1044510 CLIA NUMBER - JAMES R CARROLL MD PA FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 42D1044510
  • Facility Name: JAMES R CARROLL MD PA FAMILY PRACTICE
  • Facility Address: 2845 EAST HWY 76, SUITE 2
    MULLINS, SC
    ZIP 29574
  • Facility Phone: 843 431-2730
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JAMES R. CARROLL
  • NPI Number: 1609816735
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D1044510
LAB Type Physician Office
Facility Name JAMES R CARROLL MD PA FAMILY PRACTICE
Street 2845 EAST HWY 76, SUITE 2
City MULLINS
State SC
ZIP 29574
Phone 843 431-2730
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/22/2025
Certificate Expiration Date 8/21/2027
Facility Type Physician Office
Lab Director DR. JAMES R. CARROLL

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