42D2009097 CLIA NUMBER - TRACY M TIMONY MD LLC

Laboratory Demographics

  • CLIA Code: 42D2009097
  • Facility Name: TRACY M TIMONY MD LLC
  • Facility Address: 1665 HERLONG COURT, STE 102
    ROCK HILL, SC
    ZIP 29732
  • Facility Phone: 803 324-8004
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. TRACY M. TIMONY
  • NPI Number: 1528389350
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2009097
LAB Type Physician Office
Facility Name TRACY M TIMONY MD LLC
Street 1665 HERLONG COURT, STE 102
City ROCK HILL
State SC
ZIP 29732
Phone 803 324-8004
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/4/2024
Certificate Expiration Date 8/3/2026
Facility Type Physician Office
Lab Director DR. TRACY M. TIMONY

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