42D2083501 CLIA NUMBER - PELZER RESCUE SQUAD

Laboratory Demographics

  • CLIA Code: 42D2083501
  • Facility Name: PELZER RESCUE SQUAD
  • Facility Address: 125 HIGHWAY 20 NORTH
    PELZER, SC
    ZIP 29669
  • Facility Phone: 864 947-9484
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: HAROLD VINSON
  • NPI Number: 1154403020
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D2083501
LAB Type Ambulance
Facility Name PELZER RESCUE SQUAD
Street 125 HIGHWAY 20 NORTH
City PELZER
State SC
ZIP 29669
Phone 864 947-9484
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/8/2024
Certificate Expiration Date 9/7/2026
Facility Type Ambulance
Lab Director HAROLD VINSON

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