42D2110574 CLIA NUMBER - MCLEOD PRIMARY CARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 42D2110574
  • Facility Name: MCLEOD PRIMARY CARE ASSOCIATES
  • Facility Address: 101 SOUTH RAVENEL STREET, SUITE 300
    FLORENCE, SC
    ZIP 29506
  • Facility Phone: 843 777-7490
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. DANIEL OWENS
  • NPI Number: 1255304846
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2110574
LAB Type Physician Office
Facility Name MCLEOD PRIMARY CARE ASSOCIATES
Street 101 SOUTH RAVENEL STREET, SUITE 300
City FLORENCE
State SC
ZIP 29506
Phone 843 777-7490
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/21/2024
Certificate Expiration Date 3/20/2026
Facility Type Physician Office
Lab Director DR. DANIEL OWENS

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