42D1099153 CLIA NUMBER - HAMPTON COUNTY DETENTION CENTER ATTN MEDICAL DEPARTMENT

Laboratory Demographics

  • CLIA Code: 42D1099153
  • Facility Name: HAMPTON COUNTY DETENTION CENTER ATTN MEDICAL DEPARTMENT
  • Facility Address: 409 CEMETARY RD
    VARNVILLE, SC
    ZIP 29944
  • Facility Phone: 423 553-5635
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: THEDA OWENS
  • NPI Number: 1700471810
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 42D1099153
LAB Type Other - JAIL MEDICAL UNIT
Facility Name HAMPTON COUNTY DETENTION CENTER ATTN MEDICAL DEPARTMENT
Street 409 CEMETARY RD
City VARNVILLE
State SC
ZIP 29944
Phone 423 553-5635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2025
Certificate Expiration Date 5/6/2027
Facility Type Other - JAIL MEDICAL UNIT
Lab Director THEDA OWENS

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