42D2271082 CLIA NUMBER - MIDLANDS BEHAVIORAL HEALTH HOSPITAL

Laboratory Demographics

  • CLIA Code: 42D2271082
  • Facility Name: MIDLANDS BEHAVIORAL HEALTH HOSPITAL
  • Facility Address: 3180 BROAD STREET
    SUMTER, SC
    ZIP 29150
  • Facility Phone: 803 971-4210
  • Facility Type: Other - PSYCHIATRIC HOSPITAL
  • Facility Type: Waiver
  • Lab Director: MR. ERIC PETERSON
  • NPI Number: 1912621483
  • Taxonomy: 283Q00000X - Psychiatric Hospital

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CLIA Record

Field Name Field Value
CLIA Number 42D2271082
LAB Type Other - PSYCHIATRIC HOSPITAL
Facility Name MIDLANDS BEHAVIORAL HEALTH HOSPITAL
Street 3180 BROAD STREET
City SUMTER
State SC
ZIP 29150
Phone 803 971-4210
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/27/2024
Certificate Expiration Date 10/26/2026
Facility Type Other - PSYCHIATRIC HOSPITAL
Lab Director MR. ERIC PETERSON

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