42D2268530 CLIA NUMBER - ACTIVE DAY OF FLORENCE

Laboratory Demographics

  • CLIA Code: 42D2268530
  • Facility Name: ACTIVE DAY OF FLORENCE
  • Facility Address: 2111 W JODY ROAD
    FLORENCE, SC
    ZIP 29501
  • Facility Phone: 843 629-0103
  • Facility Type: Other - ADULT DAY MED CENTER
  • Facility Type: Waiver
  • Lab Director: ASHMON WAIDES
  • NPI Number: 1902057433
  • Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D2268530
LAB Type Other - ADULT DAY MED CENTER
Facility Name ACTIVE DAY OF FLORENCE
Street 2111 W JODY ROAD
City FLORENCE
State SC
ZIP 29501
Phone 843 629-0103
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/13/2024
Certificate Expiration Date 9/12/2026
Facility Type Other - ADULT DAY MED CENTER
Lab Director ASHMON WAIDES

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This page was last updated on: 6/4/2025