42D2243873 CLIA NUMBER - SOUTH CAROLINA MY CARE TEAM

Laboratory Demographics

  • CLIA Code: 42D2243873
  • Facility Name: SOUTH CAROLINA MY CARE TEAM
  • Facility Address: 201 CAUGHMAN FARM LANE
    LEXINGTON, SC
    ZIP 29072
  • Facility Phone: 803 629-1900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHRISTOPHER A. COOPER
  • NPI Number: 1346902475
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2243873
LAB Type Physician Office
Facility Name SOUTH CAROLINA MY CARE TEAM
Street 201 CAUGHMAN FARM LANE
City LEXINGTON
State SC
ZIP 29072
Phone 803 629-1900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2023
Certificate Expiration Date 11/22/2025
Facility Type Physician Office
Lab Director CHRISTOPHER A. COOPER

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