42D2079831 CLIA NUMBER - RIVER HILLS/LAKE WYLIE EMS

Laboratory Demographics

  • CLIA Code: 42D2079831
  • Facility Name: RIVER HILLS/LAKE WYLIE EMS
  • Facility Address: 4 HERITAGE DRIVE
    LAKE WYLIE, SC
    ZIP 29710
  • Facility Phone: 803 831-9888
  • Facility Type: Other - FIRE DEPARTMENT
  • Facility Type: Waiver
  • Lab Director: RICHARD F. MANN
  • NPI Number: 1316251986
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D2079831
LAB Type Other - FIRE DEPARTMENT
Facility Name RIVER HILLS/LAKE WYLIE EMS
Street 4 HERITAGE DRIVE
City LAKE WYLIE
State SC
ZIP 29710
Phone 803 831-9888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2024
Certificate Expiration Date 6/24/2026
Facility Type Other - FIRE DEPARTMENT
Lab Director RICHARD F. MANN

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