42D2170511 CLIA NUMBER - EMERGENCY MD

Laboratory Demographics

  • CLIA Code: 42D2170511
  • Facility Name: EMERGENCY MD
  • Facility Address: 9049 CHARLOTTE HWY
    INDIAN LAND, SC
    ZIP 29707
  • Facility Phone: 864 305-5000
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DAVID BRANCATI
  • NPI Number: 1720471618
  • Taxonomy: 261QR0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2170511
LAB Type Physician Office
Facility Name EMERGENCY MD
Street 9049 CHARLOTTE HWY
City INDIAN LAND
State SC
ZIP 29707
Phone 864 305-5000
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 9/29/2022
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DAVID BRANCATI

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