42D2174202 CLIA NUMBER - CAROLINA CONVENIENT CARE

Laboratory Demographics

  • CLIA Code: 42D2174202
  • Facility Name: CAROLINA CONVENIENT CARE
  • Facility Address: 649 W WESMARK BLVD
    SUMTER, SC
    ZIP 29150
  • Facility Phone: 803 469-7500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: USAH LILAVIVAT
  • NPI Number: 1558333773
  • Taxonomy: 207L00000X - Anesthesiology

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CLIA Record

Field Name Field Value
CLIA Number 42D2174202
LAB Type Physician Office
Facility Name CAROLINA CONVENIENT CARE
Street 649 W WESMARK BLVD
City SUMTER
State SC
ZIP 29150
Phone 803 469-7500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Physician Office
Lab Director USAH LILAVIVAT

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