42D2311878 CLIA NUMBER - TRI-COUNTY MOBILE PHLEBOTOMY SERVICE

Laboratory Demographics

  • CLIA Code: 42D2311878
  • Facility Name: TRI-COUNTY MOBILE PHLEBOTOMY SERVICE
  • Facility Address: 3622 HAYMONT LANE
    LADSON, SC
    ZIP 29456
  • Facility Phone: 843 481-5575
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: TENA C. LAMPKIN
  • NPI Number: 1447591607
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 42D2311878
LAB Type Mobile Laboratory
Facility Name TRI-COUNTY MOBILE PHLEBOTOMY SERVICE
Street 3622 HAYMONT LANE
City LADSON
State SC
ZIP 29456
Phone 843 481-5575
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/1/2024
Certificate Expiration Date 9/30/2026
Facility Type Mobile Laboratory
Lab Director TENA C. LAMPKIN

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