42D2277876 CLIA NUMBER - LEXINGTON FAMILY PRACTICE OLD CHEROKEE

Laboratory Demographics

  • CLIA Code: 42D2277876
  • Facility Name: LEXINGTON FAMILY PRACTICE OLD CHEROKEE
  • Facility Address: 707 OLD CHEROKEE ROAD
    LEXINGTON, SC
    ZIP 29072
  • Facility Phone: 803 314-9110
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: DR. WILLIAM S. DACUS
  • NPI Number: 1306995022
  • Taxonomy: 251300000X - Local Education Agency (LEA)

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CLIA Record

Field Name Field Value
CLIA Number 42D2277876
LAB Type Physician Office
Facility Name LEXINGTON FAMILY PRACTICE OLD CHEROKEE
Street 707 OLD CHEROKEE ROAD
City LEXINGTON
State SC
ZIP 29072
Phone 803 314-9110
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 4/23/2024
Certificate Expiration Date 4/22/2026
Facility Type Physician Office
Lab Director DR. WILLIAM S. DACUS

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