42D2046047 CLIA NUMBER - MARLBORO COUNTY RESCUE

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Laboratory Demographics

CLIA Number: 42D2046047

Facility Name: MARLBORO COUNTY RESCUE

Facility Address:
226 BALL PARK ST
BENNETTSVILLE, SC
ZIP 29512
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Facility Phone Number: 843 479-2644

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1922077403

Taxonomy: 207RG0100X - Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

CLIA Record

Field Name	Field Value
CLIA Number	42D2046047
LAB Type	Ambulance
Facility Name	MARLBORO COUNTY RESCUE
Street	226 BALL PARK ST
City	BENNETTSVILLE
State	SC
ZIP	29512
Phone	843 479-2644
CertificateType	4
CertificateEffectiveDate	8/24/2022
CertificateExpirationDate	8/23/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024