42D2097894 CLIA NUMBER - CYPRESS GARDENS DIALYSIS

Laboratory Demographics

  • CLIA Code: 42D2097894
  • Facility Name: CYPRESS GARDENS DIALYSIS
  • Facility Address: 418 BROAD STREET
    SUMTER, SC
    ZIP 29150
  • Facility Phone: 803 418-5129
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: JEFFERY W. SMITH
  • NPI Number: 1952731259
  • Taxonomy: 261QE0700X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2097894
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name CYPRESS GARDENS DIALYSIS
Street 418 BROAD STREET
City SUMTER
State SC
ZIP 29150
Phone 803 418-5129
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director JEFFERY W. SMITH

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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