42D2174781 CLIA NUMBER - COLONIAL FAMILY PRACTICE CAMDEN

Laboratory Demographics

  • CLIA Code: 42D2174781
  • Facility Name: COLONIAL FAMILY PRACTICE CAMDEN
  • Facility Address: 1124 LITTLE STREET
    CAMDEN, SC
    ZIP 29020
  • Facility Phone: 803 773-5227
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CLAYTON LOWDER
  • NPI Number: 1033402599
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2174781
LAB Type Physician Office
Facility Name COLONIAL FAMILY PRACTICE CAMDEN
Street 1124 LITTLE STREET
City CAMDEN
State SC
ZIP 29020
Phone 803 773-5227
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/7/2023
Certificate Expiration Date 11/6/2025
Facility Type Physician Office
Lab Director CLAYTON LOWDER

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