42D2228517 CLIA NUMBER - MCGILL MEDICAL TRANSPORT, LLC

Laboratory Demographics

CLIA Number: 42D2228517

Facility Name: MCGILL MEDICAL TRANSPORT, LLC

Facility Address:
335 N TOM GASQUE AVE
MARION, SC
ZIP 29571
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Facility Phone Number: 843 289-5078

Facility Type: Ambulance

Certificate Type: Waiver

NPI Number: 1922765775

Taxonomy: 3416L0300X - Ambulance

CLIA Record

Field Name	Field Value
CLIA Number	42D2228517
LAB Type	Ambulance
Facility Name	MCGILL MEDICAL TRANSPORT, LLC
Street	335 N TOM GASQUE AVE
City	MARION
State	SC
ZIP	29571
Phone	843 289-5078
CertificateType	4
CertificateEffectiveDate	6/28/2023
CertificateExpirationDate	6/27/2025
FacilityType	Waiver

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