42D2020040 CLIA NUMBER - MEDICAL UNIVERSITY HOSPITAL AUTHORITY DBA MUSC HEALTH PRIMARY CARE - THURGOOD MARSHALL HWY

Laboratory Demographics

  • CLIA Code: 42D2020040
  • Facility Name: MEDICAL UNIVERSITY HOSPITAL AUTHORITY DBA MUSC HEALTH PRIMARY CARE - THURGOOD MARSHALL HWY
  • Facility Address: 500 THURGOOD MARSHALL HWY
    KINGSTREE, SC
    ZIP 29556
  • Facility Phone: 843 355-1772
  • Facility Type: Rural Health Clinic
  • Facility Type: Waiver
  • Lab Director: DR. LISA WRIGHT
  • NPI Number: 1053310623
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D2020040
LAB Type Rural Health Clinic
Facility Name MEDICAL UNIVERSITY HOSPITAL AUTHORITY DBA MUSC HEALTH PRIMARY CARE - THURGOOD MARSHALL HWY
Street 500 THURGOOD MARSHALL HWY
City KINGSTREE
State SC
ZIP 29556
Phone 843 355-1772
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2024
Certificate Expiration Date 12/20/2026
Facility Type Rural Health Clinic
Lab Director DR. LISA WRIGHT

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