42D2120687 CLIA NUMBER - GEORGETOWN CITY FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 42D2120687
  • Facility Name: GEORGETOWN CITY FIRE DEPARTMENT
  • Facility Address: 1405 PRINCE STREET
    GEORGETOWN, SC
    ZIP 29440
  • Facility Phone: 843 545-4200
  • Facility Type: Other - FIRE DEPT. NO TRANSPORT
  • Facility Type: Waiver
  • Lab Director: CHARLES W. CRIBB
  • NPI Number: 1568514560
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2120687
LAB Type Other - FIRE DEPT. NO TRANSPORT
Facility Name GEORGETOWN CITY FIRE DEPARTMENT
Street 1405 PRINCE STREET
City GEORGETOWN
State SC
ZIP 29440
Phone 843 545-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/21/2024
Certificate Expiration Date 10/20/2026
Facility Type Other - FIRE DEPT. NO TRANSPORT
Lab Director CHARLES W. CRIBB

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