42D2132752 CLIA NUMBER - MONCKS CORNER FIRE DEPARTMENT

Laboratory Demographics

  • CLIA Code: 42D2132752
  • Facility Name: MONCKS CORNER FIRE DEPARTMENT
  • Facility Address: 116 CAROLINA AVE
    MONCKS CORNER, SC
    ZIP 29461
  • Facility Phone: 843 719-7990
  • Facility Type: Other - FIRE DEPT BLS NON TRANSPO
  • Facility Type: Waiver
  • Lab Director: MR. JAMES ANDERSON II
  • NPI Number: 1003070103
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2132752
LAB Type Other - FIRE DEPT BLS NON TRANSPO
Facility Name MONCKS CORNER FIRE DEPARTMENT
Street 116 CAROLINA AVE
City MONCKS CORNER
State SC
ZIP 29461
Phone 843 719-7990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Other - FIRE DEPT BLS NON TRANSPO
Lab Director MR. JAMES ANDERSON II

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