42D2269593 CLIA NUMBER - PRINCE GEORGE TRANSPORTATION

Laboratory Demographics

  • CLIA Code: 42D2269593
  • Facility Name: PRINCE GEORGE TRANSPORTATION
  • Facility Address: 513 MAIN STREET
    BLYTHEWOOD, SC
    ZIP 29016
  • Facility Phone: 803 231-9420
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: MR. GRAHAM SCHMIDT
  • NPI Number: 1922468909
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D2269593
LAB Type Ambulance
Facility Name PRINCE GEORGE TRANSPORTATION
Street 513 MAIN STREET
City BLYTHEWOOD
State SC
ZIP 29016
Phone 803 231-9420
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Ambulance
Lab Director MR. GRAHAM SCHMIDT

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