42D2163232 CLIA NUMBER - MCLEOD OCCUPATIONAL HEALTH SUMTER

Laboratory Demographics

  • CLIA Code: 42D2163232
  • Facility Name: MCLEOD OCCUPATIONAL HEALTH SUMTER
  • Facility Address: 540 PHYSICIANS LANE
    SUMTER, SC
    ZIP 29150
  • Facility Phone: 803 848-8120
  • Facility Type: Other - OCCUPATIONAL HEALTH CLINI
  • Facility Type: Waiver
  • Lab Director: EDWIN L. GANDY
  • NPI Number: 1518591544
  • Taxonomy: 2083X0100X - Preventive Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2163232
LAB Type Other - OCCUPATIONAL HEALTH CLINI
Facility Name MCLEOD OCCUPATIONAL HEALTH SUMTER
Street 540 PHYSICIANS LANE
City SUMTER
State SC
ZIP 29150
Phone 803 848-8120
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/11/2025
Certificate Expiration Date 3/10/2027
Facility Type Other - OCCUPATIONAL HEALTH CLINI
Lab Director EDWIN L. GANDY

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