42D2083235 CLIA NUMBER - WALLACE FIRE RESCUE

Laboratory Demographics

  • CLIA Code: 42D2083235
  • Facility Name: WALLACE FIRE RESCUE
  • Facility Address: 4013 HWY 177 NORTH
    WALLACE, SC
    ZIP 29596
  • Facility Phone: 843 537-9595
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: BRYAN SWEATT
  • NPI Number: 1992239834
  • Taxonomy: 251V00000X - Voluntary or Charitable

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CLIA Record

Field Name Field Value
CLIA Number 42D2083235
LAB Type Ambulance
Facility Name WALLACE FIRE RESCUE
Street 4013 HWY 177 NORTH
City WALLACE
State SC
ZIP 29596
Phone 843 537-9595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Ambulance
Lab Director BRYAN SWEATT

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