42D2079828 CLIA NUMBER - CITY OF HANAHAN FIRE AND EMS

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Laboratory Demographics

CLIA Number: 42D2079828

Facility Name: CITY OF HANAHAN FIRE AND EMS

Facility Address:
5826 CAMPBELL STREET
HANAHAN, SC
ZIP 29410
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Facility Phone Number: 843 554-4221

Facility Type: Other - EMS/FIRE DEPARTMENT

Certificate Type: Waiver

NPI Number: 1275530032

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	42D2079828
LAB Type	Other - EMS/FIRE DEPARTMENT
Facility Name	CITY OF HANAHAN FIRE AND EMS
Street	5826 CAMPBELL STREET
City	HANAHAN
State	SC
ZIP	29410
Phone	843 554-4221
CertificateType	4
CertificateEffectiveDate	6/25/2022
CertificateExpirationDate	6/24/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024