42D2313436 CLIA NUMBER - CRESCENT HEALTH PARTNERS

Laboratory Demographics

  • CLIA Code: 42D2313436
  • Facility Name: CRESCENT HEALTH PARTNERS
  • Facility Address: 212 BROAD STREET
    SUMTER, SC
    ZIP 29150
  • Facility Phone: 803 883-4033
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: KIMBERLY JACKSON
  • NPI Number: 1568207702
  • Taxonomy: 261QM1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 42D2313436
LAB Type Mobile Laboratory
Facility Name CRESCENT HEALTH PARTNERS
Street 212 BROAD STREET
City SUMTER
State SC
ZIP 29150
Phone 803 883-4033
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/31/2024
Certificate Expiration Date 10/30/2026
Facility Type Mobile Laboratory
Lab Director KIMBERLY JACKSON

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