42D2174755 CLIA NUMBER - TAYLORS FREE MEDICAL CLINIC

Laboratory Demographics

CLIA Number: 42D2174755

Facility Name: TAYLORS FREE MEDICAL CLINIC

Facility Address:
400 W MAIN STREET
TAYLORS, SC
ZIP 29687
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Facility Phone Number: 864 244-1134

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1336608033

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D2174755
LAB Type	Community Clinic
Facility Name	TAYLORS FREE MEDICAL CLINIC
Street	400 W MAIN STREET
City	TAYLORS
State	SC
ZIP	29687
Phone	864 244-1134
CertificateType	4
CertificateEffectiveDate	11/7/2023
CertificateExpirationDate	11/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024