42D2312634 CLIA NUMBER - LEGACY TRANSPORT SERVICES

Laboratory Demographics

  • CLIA Code: 42D2312634
  • Facility Name: LEGACY TRANSPORT SERVICES
  • Facility Address: 371 E HENRY ST
    SPARTANBURG, SC
    ZIP 29302
  • Facility Phone: (864) 360-2971
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DR. KELENNE TUITT
  • NPI Number: 1366085516
  • Taxonomy: 343900000X - Non-emergency Medical Transport (VAN)

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CLIA Record

Field Name Field Value
CLIA Number 42D2312634
LAB Type Ambulance
Facility Name LEGACY TRANSPORT SERVICES
Street 371 E HENRY ST
City SPARTANBURG
State SC
ZIP 29302
Phone 8643602971
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Ambulance
Lab Director DR. KELENNE TUITT

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This page was last updated on: 5/18/2026