42D1049641 CLIA NUMBER - MCLEOD HOSPICE HOUSE

Laboratory Demographics

  • CLIA Code: 42D1049641
  • Facility Name: MCLEOD HOSPICE HOUSE
  • Facility Address: 1203 E CHEVES ST
    FLORENCE, SC
    ZIP 29506
  • Facility Phone: 843 777-4700
  • Facility Type: Hospice
  • Facility Type: Waiver
  • Lab Director: JOAN HARRISON-PAVY
  • NPI Number: 1205853827
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 42D1049641
LAB Type Hospice
Facility Name MCLEOD HOSPICE HOUSE
Street 1203 E CHEVES ST
City FLORENCE
State SC
ZIP 29506
Phone 843 777-4700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2024
Certificate Expiration Date 1/11/2026
Facility Type Hospice
Lab Director JOAN HARRISON-PAVY

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