42D2241754 CLIA NUMBER - PALMETTO TRANSPORT SYSTEMS, LLC

Laboratory Demographics

  • CLIA Code: 42D2241754
  • Facility Name: PALMETTO TRANSPORT SYSTEMS, LLC
  • Facility Address: 226 BALL PARK STREET
    BENNETTSVILLE, SC
    ZIP 29512
  • Facility Phone: 888 858-9086
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: JEFF BOAN
  • NPI Number: 1285101717
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D2241754
LAB Type Ambulance
Facility Name PALMETTO TRANSPORT SYSTEMS, LLC
Street 226 BALL PARK STREET
City BENNETTSVILLE
State SC
ZIP 29512
Phone 888 858-9086
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/2/2023
Certificate Expiration Date 11/1/2025
Facility Type Ambulance
Lab Director JEFF BOAN

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