42D2150849 CLIA NUMBER - PH FAMILY MEDICINE, BISHOPVILLE

Laboratory Demographics

  • CLIA Code: 42D2150849
  • Facility Name: PH FAMILY MEDICINE, BISHOPVILLE
  • Facility Address: 116 HOSPITAL SQUARE
    BISHOPVILLE, SC
    ZIP 29010
  • Facility Phone: 803 484-9424
  • Facility Type: Rural Health Clinic
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. JOHN PATE
  • NPI Number: 1932880507
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2150849
LAB Type Rural Health Clinic
Facility Name PH FAMILY MEDICINE, BISHOPVILLE
Street 116 HOSPITAL SQUARE
City BISHOPVILLE
State SC
ZIP 29010
Phone 803 484-9424
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 12/3/2024
Certificate Expiration Date 12/2/2026
Facility Type Rural Health Clinic
Lab Director DR. JOHN PATE

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