42D2040384 CLIA NUMBER - MARION RESCUE SQUAD INC

Laboratory Demographics

  • CLIA Code: 42D2040384
  • Facility Name: MARION RESCUE SQUAD INC
  • Facility Address: 107 EAST BOND STREET
    MARION, SC
    ZIP 29571
  • Facility Phone: 843 423-8602
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: CHANDLER TISDALE
  • NPI Number: 1689906463
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D2040384
LAB Type Mobile Laboratory
Facility Name MARION RESCUE SQUAD INC
Street 107 EAST BOND STREET
City MARION
State SC
ZIP 29571
Phone 843 423-8602
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2024
Certificate Expiration Date 4/29/2026
Facility Type Mobile Laboratory
Lab Director CHANDLER TISDALE

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