42D2010886 CLIA NUMBER - ANDERSON OAKS ASSISTED LIVING

Laboratory Demographics

  • CLIA Code: 42D2010886
  • Facility Name: ANDERSON OAKS ASSISTED LIVING
  • Facility Address: 997 HIGHWAY 90
    CONWAY, SC
    ZIP 29526
  • Facility Phone: 843 347-7931
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: WYATT E. WISE
  • NPI Number: 1497169254
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D2010886
LAB Type Assisted Living Facility
Facility Name ANDERSON OAKS ASSISTED LIVING
Street 997 HIGHWAY 90
City CONWAY
State SC
ZIP 29526
Phone 843 347-7931
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Assisted Living Facility
Lab Director WYATT E. WISE

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