42D2312687 CLIA NUMBER - BROKEN TO BETTER URGENT CARE

Laboratory Demographics

  • CLIA Code: 42D2312687
  • Facility Name: BROKEN TO BETTER URGENT CARE
  • Facility Address: 2351 LEN PATTERSON RD SUITE 106
    FORT MILL, SC
    ZIP 29708
  • Facility Phone: 803 818-3932
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. STACY BAKER
  • NPI Number: 1053824235
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2312687
LAB Type Physician Office
Facility Name BROKEN TO BETTER URGENT CARE
Street 2351 LEN PATTERSON RD SUITE 106
City FORT MILL
State SC
ZIP 29708
Phone 803 818-3932
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 Physician Office
Lab Director DR. STACY BAKER

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