42D2328767 CLIA NUMBER - MCW DIAGNOSTICS DBA MCW LABORATORY

Laboratory Demographics

  • CLIA Code: 42D2328767
  • Facility Name: MCW DIAGNOSTICS DBA MCW LABORATORY
  • Facility Address: 1230 JOHN B WHITE SR BLVD #2
    SPARTANBURG, SC
    ZIP 29306
  • Facility Phone: 864 571-0282
  • Facility Type: Independent
  • Facility Type: Waiver
  • Lab Director: SHERIAN WELLS
  • NPI Number: 1932090511
  • Taxonomy: 291U00000X - Clinical Medical Laboratory

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CLIA Record

Field Name Field Value
CLIA Number 42D2328767
LAB Type Independent
Facility Name MCW DIAGNOSTICS DBA MCW LABORATORY
Street 1230 JOHN B WHITE SR BLVD #2
City SPARTANBURG
State SC
ZIP 29306
Phone 864 571-0282
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/18/2025
Certificate Expiration Date 8/17/2027
Facility Type Independent
Lab Director SHERIAN WELLS

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