42D2303167 CLIA NUMBER - PINE HILL HEALTH NETWORK EMS

Laboratory Demographics

  • CLIA Code: 42D2303167
  • Facility Name: PINE HILL HEALTH NETWORK EMS
  • Facility Address: 4631 SAVANNAH HIGHWAY
    NORTH, SC
    ZIP 29112
  • Facility Phone: 803 247-2534
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DAVID W. PENDARVIS III
  • NPI Number: 1467008300
  • Taxonomy: 171M00000X - Case Manager/Care Coordinator

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CLIA Record

Field Name Field Value
CLIA Number 42D2303167
LAB Type Ambulance
Facility Name PINE HILL HEALTH NETWORK EMS
Street 4631 SAVANNAH HIGHWAY
City NORTH
State SC
ZIP 29112
Phone 803 247-2534
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/22/2024
Certificate Expiration Date 4/21/2026
Facility Type Ambulance
Lab Director DAVID W. PENDARVIS III

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