42D2055270 CLIA NUMBER - MCCOLL DIALYSIS

Laboratory Demographics

  • CLIA Code: 42D2055270
  • Facility Name: MCCOLL DIALYSIS
  • Facility Address: 3595 HWY 15-401 E
    MCCOLL, SC
    ZIP 29570
  • Facility Phone: 843 523-6274
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: DR. JONATHAN NESTOR
  • NPI Number: 1083958482
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2055270
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name MCCOLL DIALYSIS
Street 3595 HWY 15-401 E
City MCCOLL
State SC
ZIP 29570
Phone 843 523-6274
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/8/2025
Certificate Expiration Date 3/7/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director DR. JONATHAN NESTOR

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