42D2308747 CLIA NUMBER - LMC HEART AND VASCULAR CENTER-LEXINGTON

Laboratory Demographics

  • CLIA Code: 42D2308747
  • Facility Name: LMC HEART AND VASCULAR CENTER-LEXINGTON
  • Facility Address: 811 W MAIN STREET, SUITE 209
    LEXINGTON, SC
    ZIP 29072
  • Facility Phone: 803 314-9729
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MITCHELL W. JACOCKS
  • NPI Number: 1083211312
  • Taxonomy: 207RC0000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2308747
LAB Type Physician Office
Facility Name LMC HEART AND VASCULAR CENTER-LEXINGTON
Street 811 W MAIN STREET, SUITE 209
City LEXINGTON
State SC
ZIP 29072
Phone 803 314-9729
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/2/2024
Certificate Expiration Date 8/1/2026
Facility Type Physician Office
Lab Director MITCHELL W. JACOCKS

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This page was last updated on: 3/20/2025