42D2272567 CLIA NUMBER - THE INTEGRATED WELLNESS CENTER, LLC

Laboratory Demographics

  • CLIA Code: 42D2272567
  • Facility Name: THE INTEGRATED WELLNESS CENTER, LLC
  • Facility Address: 531 OXFORD STRRET, SUITE D5
    SUMTER, SC
    ZIP 29150
  • Facility Phone: 802 792-9002
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: MS. FELICIA M. HEYWARD
  • NPI Number: 1831708296
  • Taxonomy: 363LP0808X - Nurse Practitioner

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CLIA Record

Field Name Field Value
CLIA Number 42D2272567
LAB Type Practitioner Other
Facility Name THE INTEGRATED WELLNESS CENTER, LLC
Street 531 OXFORD STRRET, SUITE D5
City SUMTER
State SC
ZIP 29150
Phone 802 792-9002
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/23/2024
Certificate Expiration Date 11/22/2026
Facility Type Practitioner Other
Lab Director MS. FELICIA M. HEYWARD

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