42D2118686 CLIA NUMBER - ANDERSON CITY DETENTION CENTER

Laboratory Demographics

  • CLIA Code: 42D2118686
  • Facility Name: ANDERSON CITY DETENTION CENTER
  • Facility Address: 401 S MAIN STREET
    ANDERSON, SC
    ZIP 29624
  • Facility Phone: 843 553-5635
  • Facility Type: Other - JAIL-MED UNIT
  • Facility Type: Waiver
  • Lab Director: VICKIE FOWLER
  • NPI Number: 1437703949
  • Taxonomy: 314000000X - Skilled Nursing Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D2118686
LAB Type Other - JAIL-MED UNIT
Facility Name ANDERSON CITY DETENTION CENTER
Street 401 S MAIN STREET
City ANDERSON
State SC
ZIP 29624
Phone 843 553-5635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Other - JAIL-MED UNIT
Lab Director VICKIE FOWLER

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