42D1075873 CLIA NUMBER - MCLEOD URGENT CARE CENTER

Laboratory Demographics

  • CLIA Code: 42D1075873
  • Facility Name: MCLEOD URGENT CARE CENTER
  • Facility Address: 3015 W PALMETTO ST
    FLORENCE, SC
    ZIP 29501
  • Facility Phone: 843 777-6870
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: PATRICK J. JEBAILY
  • NPI Number: 1104035492
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D1075873
LAB Type Physician Office
Facility Name MCLEOD URGENT CARE CENTER
Street 3015 W PALMETTO ST
City FLORENCE
State SC
ZIP 29501
Phone 843 777-6870
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Physician Office
Lab Director PATRICK J. JEBAILY

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