42D2309822 CLIA NUMBER - FORD MANOR

Laboratory Demographics

  • CLIA Code: 42D2309822
  • Facility Name: FORD MANOR
  • Facility Address: 7631 RITTER ROAD
    WALTERBORO, SC
    ZIP 29488
  • Facility Phone: 843 893-2273
  • Facility Type: Assisted Living Facility
  • Facility Type: Waiver
  • Lab Director: PATRICIA BEATON
  • NPI Number: 1316713381
  • Taxonomy: 310400000X - Assisted Living Facility

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CLIA Record

Field Name Field Value
CLIA Number 42D2309822
LAB Type Assisted Living Facility
Facility Name FORD MANOR
Street 7631 RITTER ROAD
City WALTERBORO
State SC
ZIP 29488
Phone 843 893-2273
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2024
Certificate Expiration Date 8/20/2026
Facility Type Assisted Living Facility
Lab Director PATRICIA BEATON

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