42D2238200 CLIA NUMBER - VETERAN VILLAGE STATE VETERANS HOME

Laboratory Demographics

  • CLIA Code: 42D2238200
  • Facility Name: VETERAN VILLAGE STATE VETERANS HOME
  • Facility Address: 1200 EAST NATIONAL CEMETERY ROAD
    FLORENCE, SC
    ZIP 29506
  • Facility Phone: 843 624-6513
  • Facility Type: Skilled Nursing Facility/Nursing Facility
  • Facility Type: Waiver
  • Lab Director: KENNETH SANTIAGO
  • NPI Number: 1841864857
  • Taxonomy: 3336L0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2238200
LAB Type Skilled Nursing Facility/Nursing Facility
Facility Name VETERAN VILLAGE STATE VETERANS HOME
Street 1200 EAST NATIONAL CEMETERY ROAD
City FLORENCE
State SC
ZIP 29506
Phone 843 624-6513
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2025
Certificate Expiration Date 9/30/2027
Facility Type Skilled Nursing Facility/Nursing Facility
Lab Director KENNETH SANTIAGO

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