42D2311775 CLIA NUMBER - AMERICAN ONCOLOGY PARTNERS, PA DBA LOW COUNTRYCANCER CARE ASSOCIATES

Laboratory Demographics

  • CLIA Code: 42D2311775
  • Facility Name: AMERICAN ONCOLOGY PARTNERS, PA DBA LOW COUNTRYCANCER CARE ASSOCIATES
  • Facility Address: 16 OKATIE CENTER BLVD S
    OKATIE, SC
    ZIP 29909
  • Facility Phone: 509 822-4200
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JENNIFER YANNUCCI
  • NPI Number: 1629809348
  • Taxonomy: 207RH0003X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 42D2311775
LAB Type Physician Office
Facility Name AMERICAN ONCOLOGY PARTNERS, PA DBA LOW COUNTRYCANCER CARE ASSOCIATES
Street 16 OKATIE CENTER BLVD S
City OKATIE
State SC
ZIP 29909
Phone 509 822-4200
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Physician Office
Lab Director JENNIFER YANNUCCI

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