42D2256826 CLIA NUMBER - GIFTED HANDS CARE CLINIC, LLC

Laboratory Demographics

  • CLIA Code: 42D2256826
  • Facility Name: GIFTED HANDS CARE CLINIC, LLC
  • Facility Address: 1353 JEFFERSON DRIVE, UNIT A
    FLORENCE, SC
    ZIP 29501
  • Facility Phone: 843 687-5661
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. SHALONDRICE M. WARD
  • NPI Number: 1598405045
  • Taxonomy: 363LF0000X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 42D2256826
LAB Type Practitioner Other
Facility Name GIFTED HANDS CARE CLINIC, LLC
Street 1353 JEFFERSON DRIVE, UNIT A
City FLORENCE
State SC
ZIP 29501
Phone 843 687-5661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/29/2024
Certificate Expiration Date 3/28/2026
Facility Type Practitioner Other
Lab Director MS. SHALONDRICE M. WARD

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