42D2074002 CLIA NUMBER - TANDEM HEALTH

Laboratory Demographics

  • CLIA Code: 42D2074002
  • Facility Name: TANDEM HEALTH
  • Facility Address: 319 N MAIN STREET
    SUMTER, SC
    ZIP 29150
  • Facility Phone: 803 774-6448
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Microscopy
  • Lab Director: RUSSELL BRANT
  • NPI Number: 1003371386
  • Taxonomy: 333600000X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2074002
LAB Type Federally Qualified Health Center
Facility Name TANDEM HEALTH
Street 319 N MAIN STREET
City SUMTER
State SC
ZIP 29150
Phone 803 774-6448
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 2/27/2024
Certificate Expiration Date 2/26/2026
Facility Type Federally Qualified Health Center
Lab Director RUSSELL BRANT

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