42D2189813 CLIA NUMBER - MCLEOD FAMILY MEDICINE SOUTH

Laboratory Demographics

  • CLIA Code: 42D2189813
  • Facility Name: MCLEOD FAMILY MEDICINE SOUTH
  • Facility Address: 611 SECOND LOOP ROAD
    FLORENCE, SC
    ZIP 29505
  • Facility Phone: 843 777-7010
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: HEATHER SHELTON
  • NPI Number: 1134740475
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2189813
LAB Type Physician Office
Facility Name MCLEOD FAMILY MEDICINE SOUTH
Street 611 SECOND LOOP ROAD
City FLORENCE
State SC
ZIP 29505
Phone 843 777-7010
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 8/6/2024
Certificate Expiration Date 8/5/2026
Facility Type Physician Office
Lab Director HEATHER SHELTON

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