42D2040166 CLIA NUMBER - PRO AMBULANCE SERVICE

Laboratory Demographics

  • CLIA Code: 42D2040166
  • Facility Name: PRO AMBULANCE SERVICE
  • Facility Address: 142 S MAIN ST
    MULLINS, SC
    ZIP 29574
  • Facility Phone: (843) 464-2776
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: CHRIS TODD
  • NPI Number: 1932226156
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D2040166
LAB Type Ambulance
Facility Name PRO AMBULANCE SERVICE
Street 142 S MAIN ST
City MULLINS
State SC
ZIP 29574
Phone 8434642776
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/24/2026
Certificate Expiration Date 4/23/2028
Facility Type Ambulance
Lab Director CHRIS TODD

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This page was last updated on: 5/18/2026