42D2095304 CLIA NUMBER - KEOWEE FIRE DISTRICT

Laboratory Demographics

  • CLIA Code: 42D2095304
  • Facility Name: KEOWEE FIRE DISTRICT
  • Facility Address: 115 MAINTENANCE RD
    SALEM, SC
    ZIP 29676
  • Facility Phone: 864 944-8666
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MICHAEL SHIRLEY
  • NPI Number: 1790131704
  • Taxonomy: 146N00000X - Emergency Medical Technician, Basic

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CLIA Record

Field Name Field Value
CLIA Number 42D2095304
LAB Type Ambulance
Facility Name KEOWEE FIRE DISTRICT
Street 115 MAINTENANCE RD
City SALEM
State SC
ZIP 29676
Phone 864 944-8666
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/5/2025
Certificate Expiration Date 5/4/2027
Facility Type Ambulance
Lab Director MICHAEL SHIRLEY

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