42D2296855 CLIA NUMBER - EHRHARDT MEDICAL PRACTICE

Laboratory Demographics

  • CLIA Code: 42D2296855
  • Facility Name: EHRHARDT MEDICAL PRACTICE
  • Facility Address: 12930 BROXTON BRIDGE ROAD
    EHRHARDT, SC
    ZIP 29081
  • Facility Phone: 803 824-8367
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHERRI H. CASSIDY
  • NPI Number: 1437586294
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 42D2296855
LAB Type Physician Office
Facility Name EHRHARDT MEDICAL PRACTICE
Street 12930 BROXTON BRIDGE ROAD
City EHRHARDT
State SC
ZIP 29081
Phone 803 824-8367
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/8/2024
Certificate Expiration Date 1/7/2026
Facility Type Physician Office
Lab Director SHERRI H. CASSIDY

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