42D2290744 CLIA NUMBER - THE GREAT FALLS RESCUE SQUAD

Laboratory Demographics

  • CLIA Code: 42D2290744
  • Facility Name: THE GREAT FALLS RESCUE SQUAD
  • Facility Address: 560 CHESTER AVENUE
    GREAT FALLS, SC
    ZIP 29055
  • Facility Phone: 803 482-4315
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. TREVOR G. ROBINSON
  • NPI Number: 1487938767
  • Taxonomy: 3416L0300X - Ambulance

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CLIA Record

Field Name Field Value
CLIA Number 42D2290744
LAB Type Ambulance
Facility Name THE GREAT FALLS RESCUE SQUAD
Street 560 CHESTER AVENUE
City GREAT FALLS
State SC
ZIP 29055
Phone 803 482-4315
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2025
Certificate Expiration Date 9/28/2027
Facility Type Ambulance
Lab Director DR. TREVOR G. ROBINSON

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