42D2310847 CLIA NUMBER - CMC INFUSION CENTER-UNVERISTY COMMONS

Laboratory Demographics

  • CLIA Code: 42D2310847
  • Facility Name: CMC INFUSION CENTER-UNVERISTY COMMONS
  • Facility Address: 201 GRADUATE COMMONS DRIVE SUITE 102
    CONWAY, SC
    ZIP 29526
  • Facility Phone: 843 347-0318
  • Facility Type: Other - AMBULATORY INFUSION CENTE
  • Facility Type: Waiver
  • Lab Director: SCOTT A. ROSS
  • NPI Number: 1144063082
  • Taxonomy: 261QI0500X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2310847
LAB Type Other - AMBULATORY INFUSION CENTE
Facility Name CMC INFUSION CENTER-UNVERISTY COMMONS
Street 201 GRADUATE COMMONS DRIVE SUITE 102
City CONWAY
State SC
ZIP 29526
Phone 843 347-0318
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/11/2024
Certificate Expiration Date 9/10/2026
Facility Type Other - AMBULATORY INFUSION CENTE
Lab Director SCOTT A. ROSS

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