42D2068535 CLIA NUMBER - VITAL CARE EMS

Laboratory Demographics

  • CLIA Code: 42D2068535
  • Facility Name: VITAL CARE EMS
  • Facility Address: 622 COOPER ROAD
    PIEDMONT, SC
    ZIP 29673
  • Facility Phone: 864 269-6910
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DAVE T. ROBERTS
  • NPI Number: 1336478551
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D2068535
LAB Type Ambulance
Facility Name VITAL CARE EMS
Street 622 COOPER ROAD
City PIEDMONT
State SC
ZIP 29673
Phone 864 269-6910
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/6/2023
Certificate Expiration Date 11/5/2025
Facility Type Ambulance
Lab Director DAVE T. ROBERTS

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