42D2093301 CLIA NUMBER - LANDRUM RESCUE SQUAD

Laboratory Demographics

  • CLIA Code: 42D2093301
  • Facility Name: LANDRUM RESCUE SQUAD
  • Facility Address: 100 W COLEMAN ST
    LANDRUM, SC
    ZIP 29356
  • Facility Phone: 864 457-2857
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: LARRY COGDELL
  • NPI Number: 1881687150
  • Taxonomy: 341600000X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D2093301
LAB Type Ambulance
Facility Name LANDRUM RESCUE SQUAD
Street 100 W COLEMAN ST
City LANDRUM
State SC
ZIP 29356
Phone 864 457-2857
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/24/2025
Certificate Expiration Date 3/23/2027
Facility Type Ambulance
Lab Director LARRY COGDELL

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