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42D2268993 CLIA NUMBER - ADVANCED HEALTH DIAGNOSTICS

Laboratory Demographics

CLIA Number: 42D2268993

Facility Name: ADVANCED HEALTH DIAGNOSTICS

Facility Address:
110 E FAIRLEE STREET
MARION, SC
ZIP 29571
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Facility Phone Number: 843 765-3065

Facility Type: Other - INDEPENDENT/MOBILE

Certificate Type: Waiver
NPI Number: 1417605593

Taxonomy: 291U00000X - Clinical Medical Laboratory
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

CLIA Record

Field Name Field Value
CLIA Number 42D2268993
LAB Type Other - INDEPENDENT/MOBILE
Facility Name ADVANCED HEALTH DIAGNOSTICS
Street 110 E FAIRLEE STREET
City MARION
State SC
ZIP 29571
Phone 843 765-3065
CertificateType 4
CertificateEffectiveDate 9/20/2022
CertificateExpirationDate 9/19/2024
FacilityType Waiver

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