42D2065001 CLIA NUMBER - PAMPLICO DIALYSIS

Laboratory Demographics

  • CLIA Code: 42D2065001
  • Facility Name: PAMPLICO DIALYSIS
  • Facility Address: 1520 FLAG DRIVE
    FLORENCE, SC
    ZIP 29505
  • Facility Phone: 843 413-0857
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: ADNAN ALSAKA
  • NPI Number: 1326482928
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2065001
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name PAMPLICO DIALYSIS
Street 1520 FLAG DRIVE
City FLORENCE
State SC
ZIP 29505
Phone 843 413-0857
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/30/2025
Certificate Expiration Date 8/29/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director ADNAN ALSAKA

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