42D2275875 CLIA NUMBER - JWKE INTERNAL MEDICINE, LLC

Laboratory Demographics

  • CLIA Code: 42D2275875
  • Facility Name: JWKE INTERNAL MEDICINE, LLC
  • Facility Address: 3000 WOODSIDE EXECUTIVE COURT
    AIKEN, SC
    ZIP 29803
  • Facility Phone: 706 831-0904
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ASHLEY E. TOOLE
  • NPI Number: 1467163113
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2275875
LAB Type Physician Office
Facility Name JWKE INTERNAL MEDICINE, LLC
Street 3000 WOODSIDE EXECUTIVE COURT
City AIKEN
State SC
ZIP 29803
Phone 706 831-0904
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2025
Certificate Expiration Date 1/30/2027
Facility Type Physician Office
Lab Director DR. ASHLEY E. TOOLE

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