42D2052211 CLIA NUMBER - EDGEFIELD COUNTY DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 42D2052211
  • Facility Name: EDGEFIELD COUNTY DETENTION CENTER
  • Facility Address: 200 RAILROAD STREET, MEDICAL UNIT/DEPARTMENT
    EDGEFIELD, SC
    ZIP 29824
  • Facility Phone: 423 553-5635
  • Facility Type: Other - JAIL MEDICAL UNIT
  • Facility Type: Waiver
  • Lab Director: WANDA ROUSE
  • NPI Number: 1023080439
  • Taxonomy: 282NC0060X - General Acute Care Hospital

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CLIA Record

Field Name Field Value
CLIA Number 42D2052211
LAB Type Other - JAIL MEDICAL UNIT
Facility Name EDGEFIELD COUNTY DETENTION CENTER
Street 200 RAILROAD STREET, MEDICAL UNIT/DEPARTMENT
City EDGEFIELD
State SC
ZIP 29824
Phone 423 553-5635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/7/2025
Certificate Expiration Date 1/6/2027
Facility Type Other - JAIL MEDICAL UNIT
Lab Director WANDA ROUSE

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