42D2258313 CLIA NUMBER - A BETTER YOU HEALTH AND WELLNESS MEDICINE, LLC

Laboratory Demographics

CLIA Number: 42D2258313

Facility Name: A BETTER YOU HEALTH AND WELLNESS MEDICINE, LLC

Facility Address:
1220-D KNOX ABBOTT DRIVE
CAYCE, SC
ZIP 29033
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Facility Phone Number: 803 206-3098

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881300259

Taxonomy: 261QH0100X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	42D2258313
LAB Type	Physician Office
Facility Name	A BETTER YOU HEALTH AND WELLNESS MEDICINE, LLC
Street	1220-D KNOX ABBOTT DRIVE
City	CAYCE
State	SC
ZIP	29033
Phone	803 206-3098
CertificateType	4
CertificateEffectiveDate	4/20/2024
CertificateExpirationDate	4/19/2026
FacilityType	Waiver

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