42D2114073 CLIA NUMBER - AWC LAB

Laboratory Demographics

  • CLIA Code: 42D2114073
  • Facility Name: AWC LAB
  • Facility Address: 531 W EVANS ST
    FLORENCE, SC
    ZIP 29501
  • Facility Phone: 843 669-2295
  • Facility Type: Other - MOBILE TESTING
  • Facility Type: Waiver
  • Lab Director: RUBY L. GOODMAN
  • NPI Number: 1801244017
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 42D2114073
LAB Type Other - MOBILE TESTING
Facility Name AWC LAB
Street 531 W EVANS ST
City FLORENCE
State SC
ZIP 29501
Phone 843 669-2295
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/7/2024
Certificate Expiration Date 6/6/2026
Facility Type Other - MOBILE TESTING
Lab Director RUBY L. GOODMAN

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